POONAM THAKORE (Credential# 1653261) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
POONAM THAKORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062904-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 1400 Annunciation St Apt 1305, New Orleans, LA 70130-4580. The current status is active.
| Licensee Name | POONAM THAKORE |
| Credential ID | 1653261 |
| Credential Number | 1.062904-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1400 Annunciation St Apt 1305 New Orleans LA 70130-4580 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1662612 | CSP.0071209 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-25 | 2019-06-25 - 2021-02-28 | ACTIVE |
| 1630978 | 1.062497 | Physician/Surgeon | 2019-03-27 | 2019-03-27 - 2019-11-30 | INACTIVE |
| Street Address | 1400 ANNUNCIATION ST APT 1305 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70130-4580 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin E Juro | 700 Magazine Unit 211, New Orleans, LA 70130 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas R Luzzi | 920 Poeyfarre St, New Orleans, LA 70130 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Baptist Community Ministries | 400 Poydras St Suite 2950, New Orleans, LA 70130 | Public Charity | 2019-09-01 ~ 2020-08-31 |
| 99 Apple Whisky | 101 Magazine Street, New Orleans, LA 70130 | Liquor Brand Label | 2019-07-29 ~ 2022-07-25 |
| National Contractor Service Company | 365 Canal St, New Orleans, LA 70130 | Home Improvement Contractor | ~ 2006-11-30 |
| Ana Belen Rivera Derosales | 910 Philip St, New Orleans, LA 70130 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Philip A Shelton | 2100 St Charles Ave Apt 2a, New Orleans, LA 70130 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Margaret B Dolan | 2730 St Charles Ave, New Orleans, LA 70130 | Registered Nurse | 2009-01-26 ~ 2010-01-31 |
| Stephanie M Hopkins | 2608 Carondelet Street, New Orleans, LA 70130 | Registered Nurse | 2008-08-07 ~ 2008-12-31 |
| Avenue Plaza Condominiums · Avenue Plaza LLC | 2111 St Charles Ave, New Orleans, LA 70130 | Interstate Land Sales Registration | 1999-01-01 ~ 1999-12-31 |
| Find all Licenses in zip 70130 | |||
| City | NEW ORLEANS |
| Zip Code | 70130 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW ORLEANS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sanket R Thakore | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Vihangi Thakore | 218 New Britain Ave Apt 1, Unionville, CT 06085-1272 | Dentist | 2009-01-12 ~ 2009-08-31 |
| Priyansh M Thakore | 660 Robert Street E., Suite 302, 59H 4R9 | Physical Therapist | ~ |
| Poonam Rai | 25 Woods Edge Court, Parlin, NJ 08859 | Barber | 2010-03-01 ~ 2012-02-29 |
| Poonam H Bhavsar | 51 Elsie Drive, Manchester, CT 06042 | Pharmacy Technician | 2007-04-01 ~ 2008-03-31 |
| Poonam Singh | 2727 Morgan Lane, Trophy Club, TX 76262 | Physical Therapist | ~ |
| Poonam Gupta | 2417 Neil Armstrong Dr Apt 2d, West Lafayette, IN 47906-3862 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Poonam S Mehta | 11 Pumpkin Hill Rd, Trumbull, CT 06611 | Notary Public Appointment | 1993-08-20 ~ 1998-08-31 |
| Poonam Patel | 24312 Town Walk Dr, Hamden, CT 06518-3768 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Poonam M. Gat | 31 River Court Apt 3003, Jersey City, NJ 07310 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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| 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).