SHIV M GUPTA MD (Credential# 150456) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SHIV M GUPTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010148. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 11485 Timber Mountain Ave, Las Vegas, NV 89135. The current status is inactive.
| Licensee Name | SHIV M GUPTA MD |
| Credential ID | 150456 |
| Credential Number | CSP.0010148 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11485 Timber Mountain Ave Las Vegas NV 89135 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543623 | 1.021244 | Physician/Surgeon | 1979-08-30 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 11485 Timber Mountain Ave |
| City | Las Vegas |
| State | NV |
| Zip Code | 89135 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aristocrat Technologies, Inc. | 10220 Aristocrat Way, Las Vegas, NV 89135 | Gaming Services Provider | 2020-06-09 ~ 2021-06-09 |
| Hava G Lavine | 2129 Morro Vista Dr, Las Vegas, NV 89135 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Michael J Petti | 4616 Fiore Bella Boulevard, Las Vegas, NV 89135 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher F Halpin | 1287 Ice Park Street, Las Vegas, NV 89135 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lawrence D O'shea | 10523 Sunblower Avenue, Las Vegas, NV 89135 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
| Pamela S Ginsburg | 10330 Blue Ginger Drive, Las Vegas, NV 89135 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Patricia Geib | 2702 Chantemar Street, Las Vegas, NV 89135 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Carol L Ball | 10237 Sweet Fennel Drive, Las Vegas, NV 89135 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Erlinda F De Leon | 10532 Cerotto Lane, Las Vegas, NV 89135 | Physician/surgeon | 2004-03-29 ~ 2005-03-31 |
| Joan E Kopischke | 3722 Moonlit Rain Drive, Las Vegas, NV 89135 | Registered Nurse | 2003-12-29 ~ 2004-12-31 |
| Find all Licenses in zip 89135 | |||
| City | Las Vegas |
| Zip Code | 89135 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Las Vegas |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shiv Bhanu | 33 Woodbury Ave Apt 7, Norwalk, CT 06850-3536 | Controlled Substance Registration for Practitioner | 2015-06-16 ~ 2017-02-28 |
| Shiv Kamlesh Gandhi | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tarun Gupta Md | 115 Technology Dr., Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly D Gupta | 59 Liberty St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mayank Gupta | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-01 ~ 2011-02-28 |
| Sandeep Gupta | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nirupama Gupta | 129 York St Apt 3c, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sameer Gupta | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Bhushan C Gupta Md | 204 Oxford Way, Belmont, CA 94002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Priyanka Gupta | 399 Main Ave Apt 821, Norwalk, CT 06851-1565 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on SHIV M GUPTA MD.
| 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).