JASRA ALI BHAT (Credential# 1672728) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 23, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JASRA ALI BHAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063808-RES. The credential type is resident physician. The effective date is July 23, 2019. The expiration date is June 30, 2021. The business address is 630 Mix Ave Apt 2e, Hamden, CT 06514-2359. The current status is active.
Licensee Name | JASRA ALI BHAT |
Credential ID | 1672728 |
Credential Number | 1.063808-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
630 Mix Ave Apt 2e Hamden CT 06514-2359 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-01 |
Effective Date | 2019-07-23 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1672674 | CSP.0071771 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-01 | 2019-07-01 - 2021-02-28 | ACTIVE |
1625281 | 1.063558 | Physician/Surgeon | 2019-06-03 | 2019-06-03 - 2020-06-30 | ACTIVE |
Street Address | 630 MIX AVE APT 2E |
City | HAMDEN |
State | CT |
Zip Code | 06514-2359 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew M Zuber | 630 Mix Ave Apt 2c, Hamden, CT 06514-2359 | Public Weigher | 2015-07-01 ~ 2016-06-30 |
Chirag S Patel | 630 Mix Ave Apt 2f, Hamden, CT 06514-2359 | Engineer-in-training | 2018-04-24 ~ 2028-04-24 |
Ronald Miick Md | 630 Mix Ave Apt 1b, Hamden, CT 06514-2359 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Kimberly E Kreielsheimer | 630 Mix Ave Apt 2f, Hamden, CT 06514-2359 | Occupational Therapist | 2014-10-03 ~ 2015-07-31 |
J A I Home Improvement LLC | 630 Mix Ave Apt 2f, Hamden, CT 06514-2359 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06514 |
City | HAMDEN |
Zip Code | 06514 |
License Type | Resident Physician |
License Type + County | Resident Physician + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Varun Bhat | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2015-07-01 ~ 2020-06-30 |
Shankar P Bhat | Bo Box 15538, Durham, NC 27704 | Physician/surgeon | 1980-01-02 ~ 1981-04-30 |
Vijay Rajendra Bhat | 150 Spear St, San Francisco, CA 94105 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Kabekode Omkar Bhat | 49 Friendship Street, Willimantic, CT 06226 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Syed B Bhat | 1901 Washington Blvd, Easton, PA 18042 | Physician/surgeon | 2003-06-26 ~ 2004-02-29 |
Neema Bhat | 18107 Northern Dancer Lane, Boyds, MD 20841 | Physician/surgeon | 2019-01-17 ~ 2019-12-31 |
Haimavathi Bhat | 340 Media Station Road, Media, PA 19063 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Varun Bhat | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 2019-10-07 ~ 2020-03-31 |
Ganesh V Bhat | 3015 84th St, East Elmhurst, NY 11370-1922 | Pharmacist | ~ |
Ayshwarya C Bhat | 14 Sunset Lane, New Milford, CT 06776 | Pharmacy Technician | 2004-04-01 ~ 2005-03-31 |
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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).