SUBRATA K BASU MD
Physician/surgeon


Address: 290 Collins St, Hartford, CT 06105-1549

SUBRATA K BASU MD (Credential# 541500) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.

Business Overview

SUBRATA K BASU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015486. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 290 Collins St, Hartford, CT 06105-1549. The current status is inactive.

Basic Information

Licensee Name SUBRATA K BASU MD
Credential ID 541500
Credential Number 1.015486
Credential Type Physician/Surgeon
Business Address 290 Collins St
Hartford
CT 06105-1549
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1972-03-10
Effective Date 2014-04-01
Expiration Date 2015-03-31
Refresh Date 2015-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
153126 CSP.0003630 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE
47562 CSP.0025059 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-07-28 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 290 COLLINS ST
City HARTFORD
State CT
Zip Code 06105-1549

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Thomas I. Knox Jr 290 Collins St, Hartford, CT 06105 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Deal T Aseltine Jr 290 Collins St, Hartford, CT 06105 Physician/surgeon 2001-10-02 ~ 2002-11-30

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Hartford Community Loan Fund 215 Garden Street, Hartford, CT 06105 Public Charity 2019-06-01 ~ 2020-05-31
Kathleen C Hobart 81 Fern Street, Hartford, CT 06105 Registered Nurse 2020-07-01 ~ 2021-06-30
Khadija Seidi 196 Laurel St, Hartford, CT 06105 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Stuart W Alpert 200 N Beacon St, Hartford, CT 06105 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Christina Perez 4 Atwood Street, Hartford, CT 06105 Marital and Family Therapist 2020-07-01 ~ 2021-06-30
Ashley Ameena Bachan 25 Owen Street, Hartford, CT 06105 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Dhruti Anilkant Mankodi Hospitalist Department, Hartford, CT 06105 Physician/surgeon 2020-08-01 ~ 2021-07-31
Jacqueline Alexandra Raymond 24 Owen Street, Hartford, CT 06105 Esthetician 2020-06-22 ~ 2021-10-31
Hortense Bates 48-50 Atwood Street, Hartford, CT 06105 Medication Administration Certification 2020-08-20 ~ 2022-08-19
Nicolas Archambault 169 Sigourney Street, Hartford, CT 06105 Emergency Medical Technician ~
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Competitor

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City HARTFORD
Zip Code 06105
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HARTFORD

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Dataset Information

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).

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