BANU SUNDAR
Physician/surgeon


Address: 37 Woodbury Rd, Southborough, MA 01772-2029

BANU SUNDAR (Credential# 1494642) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

BANU SUNDAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060390. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 37 Woodbury Rd, Southborough, MA 01772-2029. The current status is active.

Basic Information

Licensee Name BANU SUNDAR
Credential ID 1494642
Credential Number 1.060390
Credential Type Physician/Surgeon
Business Address 37 Woodbury Rd
Southborough
MA 01772-2029
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-04-20
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1632860 CSP.0070286 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-02-19 2019-02-19 - 2021-02-28 ACTIVE

Office Location

Street Address 37 WOODBURY RD
City SOUTHBOROUGH
State MA
Zip Code 01772-2029

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Simon J Butler 10 Presidential Drive, Southborough, MA 01772 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Deborah Demuria 58 Flagg Road, Southborough, MA 01772 Pharmacist 2020-02-01 ~ 2022-01-31
Shelby Butwell 841 Madison Place, Southborough, MA 01772 Registered Nurse 2020-04-01 ~ 2021-03-31
Stephanie Piandes 9 Breakneck Hill Rd, Southborough, MA 01772 Occupational Therapist 2019-12-13 ~ 2021-07-31
Brian Edward Shea 17 Pinecone Ln, Southboro, MA 01772 Professional Engineer 2020-02-01 ~ 2021-01-31
Julie A Talbot 25 E Main St, Southborough, MA 01772 Pharmacist 2020-02-01 ~ 2022-01-31
Richard E. Fournier, Jr. 33 Darlene Drive, Southboro, MA 01772 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Haita Makanji 9 Kidder Lane, Southborough, MA 01772 Pharmacist 2020-02-01 ~ 2022-01-31
Chad M Farrell Jr 154 Turnpike Road, Southborough, MA 01772 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City SOUTHBOROUGH
Zip Code 01772
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SOUTHBOROUGH

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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