CHANDRA K AGARWAL MD (Credential# 541629) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 7, 2001. The license expiration date date is September 30, 2002. The license status is INACTIVE.
CHANDRA K AGARWAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015780. The credential type is physician/surgeon. The effective date is September 7, 2001. The expiration date is September 30, 2002. The business address is 317 Pine Lane, Wethersfield, CT 06109. The current status is inactive.
| Licensee Name | CHANDRA K AGARWAL MD |
| Credential ID | 541629 |
| Credential Number | 1.015780 |
| Credential Type | Physician/Surgeon |
| Business Address |
317 Pine Lane Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-10-05 |
| Effective Date | 2001-09-07 |
| Expiration Date | 2002-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152340 | CSP.0002857 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 317 PINE LANE |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vijay K Agarwal | 241 Westgrove Ct, Durham, NC 27703-8960 | Physician/surgeon | 2008-05-13 ~ 2008-09-30 |
| Ruchi Agarwal | 18 Sylvia Avenue, Ardsley, NY 10502 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Daniel Rahul Agarwal | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ravi Agarwal | 25 Biggs Place, Flemington, NJ 08822-3378 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
| Suresh K Agarwal | 2734 Lynn Terrace, Apt. #7, Madison, WI 53705 | Physician/surgeon | 2003-02-21 ~ 2004-02-29 |
| Amit Kumar Agarwal | 4012 Centenary Ave, Dallas, TX 75225-5429 | Physician/surgeon | 2017-06-14 ~ 2018-05-31 |
| Arun Agarwal | 44 Van Buren Avenue, West Hartford, CT 06107 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Abhay K Agarwal | 335 Crestview Road, Southern Pines, NC 28387 | Physician/surgeon | 2000-03-10 ~ 2001-03-31 |
| N Chandra Narayanan | 53 Blue Ridge Dr, Weatogue, CT 06089-9787 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Chandra A Kee | 11 S Wyoming Avenue, Unit 9, Ardmore, PA 19003-1226 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).