MARIAMMA M CHALUPARAMBIL (Credential# 2046623) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
MARIAMMA M CHALUPARAMBIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065629-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 263 Farmington Ave, Farmington, CT 06030-2105. The current status is active.
| Licensee Name | MARIAMMA M CHALUPARAMBIL |
| Credential ID | 2046623 |
| Credential Number | 1.065629-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
263 Farmington Ave Farmington CT 06030-2105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-05-21 |
| Street Address | 263 Farmington Ave |
| City | Farmington |
| State | CT |
| Zip Code | 06030-2105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Smith Dds | Rm C1204b, Farmington, CT 06030-2105 | Controlled Substance Registration for Practitioner | 1993-01-08 ~ 1995-02-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolly Chaluparambil | Po Box 324, Rocky Hill, CT 06067-0724 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mariamma Kuziathu Abraham | 205 Jfk Drive, Atlantis, FL 33462 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Mariamma C John | 8 Grandview Dr, Danbury, CT 06811 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Mariamma T Varughese | 542 Cool Wood, Houston, TX 77013 | Registered Nurse | 2002-03-27 ~ 2002-10-31 |
| Mariamma George Parayakattu | 805 Pinebrook Ave, Hamden, CT 06514 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mariamma Paulose | 4 Robin Cir, Tolland, CT 06084 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariamma Joseph | 95 Birchwood Hts, Storrs Mansfield, CT 06268-2501 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Mariamma Alexander | 11 Lark Avenue, White Plains, NY 10607 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mariamma Varghese | 2 Mountain Farms Rd, West Hartford, CT 06117 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Mariamma Babu | 40 Walnut Street, Monroe, CT 06468 | Licensed Practical Nurse | 2011-09-01 ~ 2012-08-31 |
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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).