AJAY K SHUKLA MD (Credential# 1807491) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AJAY K SHUKLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072810. The credential type is controlled substance registration for practitioner. The effective date is November 20, 2019. The expiration date is February 28, 2021. The business address is 270 Kinne Rd, Glastonbury, CT 06033-3852. The current status is active.
| Licensee Name | AJAY K SHUKLA MD |
| Credential ID | 1807491 |
| Credential Number | CSP.0072810 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
270 Kinne Rd Glastonbury CT 06033-3852 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-20 |
| Effective Date | 2019-11-20 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-11-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564498 | 1.046916 | Physician/Surgeon | 2008-08-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 508876 | CSP.0043957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-25 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 270 KINNE RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-3852 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katia A Thomas | 204 Kinne Rd, Glastonbury, CT 06033-3852 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salil Shukla Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Shikha Shukla | 111 Park St Apt 9c, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajay Malhotra | 17 Hanford Ln, New Canaan, CT 06840-4419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajay Kumar Md | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajay Mathur | 5 Talcott Forest Rd Apt Q, Farmington, CT 06032-3569 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Ajay Mohan Tunguturi | 85 Seymour St, Hartford, CT 06106-5501 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 2021-02-28 |
| Ajay K. Rana | 185 Village Square Dr Apt 37, New Britain, CT 06053-1236 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ajay K Kota Md | 86 Hill Street, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajay S Ahuja | 825 High Ridge Rd, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajay Shah | 2950 Old Spanish Trl Apt 224, Houston, TX 77054-2233 | 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).