SHREE JAYENDRA SHAH (Credential# 2050769) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
SHREE JAYENDRA SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is Po Box 1619, Coeur D Alene, ID 83816-1619. The current status is pending.
| Licensee Name | SHREE JAYENDRA SHAH |
| Credential ID | 2050769 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 1619 Coeur D Alene ID 83816-1619 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2020-06-02 |
| Street Address | PO BOX 1619 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83816-1619 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John W Boardman | Po Box 1619, Coeur D Alene, ID 83816-1619 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Suzanne Lei Aquino | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Dishant Girish Shah | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| William Joseph Rusnak | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Patrick Joseph Burke | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Syed Ali Akbar | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Anthony Joseph Willis | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel William S'doia | P.o. 1619, Coeur D'alene, ID 83816 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Troy A Belle | Direct Radiology, Coeur D'alene, ID 83816 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lee J Secrist Md | Po Box 2127, Coeur D Alene, ID 83816 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| John Robert Blackwell | P.o. Box 1619, Coeur D'alene, ID 83816 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santiago Jimenez | 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michelle C Meyer | 1509 E Coeur D Alene Ave, Coeur D Alene, ID 83814-5412 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Joanna Arcuni Carlson | 1839 N Government Way Ste B, Coeur D Alene, ID 83814-3454 | Physician/surgeon | 2019-09-04 ~ 2020-01-31 |
| Perry P Kaneriya | 1839 N Government Way, Coeur D Alene, ID 83814-3454 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Jason Doonan | 833 E Mullan Ave Apt 220, Coeur D Alene, ID 83814-4027 | Paramedic | 2014-04-01 ~ 2015-03-31 |
| Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Faisal A Sami Md | 601 Front Ave. #502, Coeur D Alene, ID 83814-2973 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rolf P Tonseth Md | C/o Virtual Radiologic, Coeur D Alene, ID 83814-5155 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in COEUR D ALENE | |||
| City | COEUR D ALENE |
| Zip Code | 83816 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COEUR D ALENE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shree Gopal Sharma | 10810 Executive Center Dr., Little Rock, AR 72211 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Jay Shree Krashna LLC · Grand News | 156 Bank St, Waterbury, CT 06702-2210 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Shree Sumtinath Inc | 1183 Townsend Ave, New Haven, CT 06512-1951 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-02-29 ~ 2021-02-28 |
| Shree Vinayak Inc | 358 Long Ridge Rd, Stamford, CT 06902-1628 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2016-03-01 ~ 2017-02-28 |
| Jay Shree Krashna LLC · Grandnews | 156 Bank St, Waterbury, CT 06702-2210 | Non Legend Drug Permit | 2015-09-01 ~ 2015-12-31 |
| Shree Gopal LLC | 67 Church Hill Rd, Newtown, CT 06470 | Retail Gasoline Dealer | 2009-11-01 ~ 2010-10-31 |
| Shree Jai Ambe LLC | 15 Fern Hill Rd, Watertown, CT 06795-1513 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Shree Raj Grocery | 78 Pane Rd, Newington, CT 06111-5521 | Operator of Weighing & Measuring Devices | 2011-10-26 ~ 2012-07-31 |
| Shree India | 7-m Tulsi Path Madrampura Civil Lines, Jaipur Rajasthan, 302006 | Manufacturer of Bedding & Upholstered Furniture | 2014-12-29 ~ 2015-04-30 |
| Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
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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).