AJAY K KOTA MD (Credential# 527296) 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.
AJAY K KOTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045231. 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 86 Hill Street, Milford, CT 06460. The current status is active.
| Licensee Name | AJAY K KOTA MD |
| Credential ID | 527296 |
| Credential Number | CSP.0045231 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
86 Hill Street Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-03-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564751 | 1.047169 | Physician/Surgeon | 2008-11-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 393201 | PTN.0007117 | PHARMACY TECHNICIAN | 2005-01-05 | 2006-04-10 - 2007-03-31 | INACTIVE |
| Street Address | 86 Hill Street |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Venkata Praveena Kota Md | 111 Deercliff Rd, Avon, CT 06001 | 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 K Shukla Md | 270 Kinne Rd, Glastonbury, CT 06033-3852 | Controlled Substance Registration for Practitioner | 2019-11-20 ~ 2021-02-28 |
| Ajay Manhapra | 9652 27th Bay St, Norfolk, CT 23518 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ajay Mohan Tunguturi | 85 Seymour St, Hartford, CT 06106-5501 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 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 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 Shah | 2950 Old Spanish Trl Apt 224, Houston, TX 77054-2233 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ajay Mathur | 5 Talcott Forest Rd Apt Q, Farmington, CT 06032-3569 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
Please comment or provide details below to improve the information on AJAY K KOTA MD.
| 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).