SHRUTI GUPTA MD (Credential# 494455) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHRUTI GUPTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043105. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 49 Treadwell Avenue, Westport, CT 06880. The current status is active.
| Licensee Name | SHRUTI GUPTA MD |
| Credential ID | 494455 |
| Credential Number | CSP.0043105 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
49 Treadwell Avenue Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-03-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563556 | 1.045974 | Physician/Surgeon | 2007-10-30 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 49 Treadwell Avenue |
| City | Westport |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | Westport |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Westport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shruti M Gandhi | 66 Glenbrook Rd Apt 3314, Stamford, CT 06902-8401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Shruti Murali | 39 Keswick Cir, Monroe Township, NJ 08831-4906 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Shruti A Vaidya-kane Dds | 50 Forest St Apt 1702, Stamford, CT 06901-1876 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Shruti Raju Dandu | 75 Hockanum Blvd, Unit #1624, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shruti Agnihotri Md | 263 Farmington Ave Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-17 ~ 2011-02-28 |
| Sameer Gupta | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Ritu Gupta | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Priyanka Gupta | 399 Main Ave Apt 821, Norwalk, CT 06851-1565 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tarun Gupta Md | 115 Technology Dr., Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Himank Gupta | 61 Southridge Dr, Waterbury, CT 06708-3328 | 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).