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.
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.
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 |
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 |
Street Address | 290 COLLINS ST |
City | HARTFORD |
State | CT |
Zip Code | 06105-1549 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 | ~ |
Find all Licenses in zip 06105 |
City | HARTFORD |
Zip Code | 06105 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sudeshna Basu Md | 16 Laurel Way, Wethersfield, CT 06109-4140 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Lakshmi Basu | 11 Maguy Street, Quaker Hill, CT 06375 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Pallavi Basu | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Atreyee Basu | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Subrata Saha | 6117 Woodside Ave Apt 3a, Woodside, NY 11377-3526 | Professional Engineer | ~ |
Adrian V Basu Dds | 202 Turnpike Rd., Southington, CT 06489 | Dentist | 2016-07-01 ~ 2017-06-30 |
Eric K Basu | 101 W Cross St Apt 326, Baltimore, MD 21230-3669 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
Uma Basu | 24 Sunswyck Rd, Darien, CT 06820-6033 | Emergency Medical Technician | 2016-05-26 ~ 2018-12-31 |
Alakendra N Basu | 19 Karnell Dr, Piscataway, NJ 08854 | Professional Engineer | ~ |
Silvia P Basu | 325 Pasadena Pl, Bridgeport, CT 06610-1135 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
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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).