MUKESH SHAH MD (Credential# 543431) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MUKESH SHAH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020669. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 64 Copper Kettle Rd, Trumbull, CT 06611. The current status is active.
| Licensee Name | MUKESH SHAH MD |
| Credential ID | 543431 |
| Credential Number | 1.020669 |
| Credential Type | Physician/Surgeon |
| Business Address |
64 Copper Kettle Rd Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1978-08-14 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149453 | CSP.0008196 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 64 Copper kettle RD |
| City | Trumbull |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Coffey | 64 Copper Kettle Rd, Trumbull, CT 06611 | Notary Public Appointment | 1980-08-05 ~ 1985-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | Trumbull |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Trumbull |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mukesh Kumar | 549 E 234th St Apt 3i, Bronx, NY 10470-2454 | Physician/surgeon | 2020-05-06 ~ 2021-05-31 |
| Mukesh Shah | 1195 Gasparilla Dr Ne, Saint Petersburg, FL 33702-2745 | Pharmacist | ~ |
| Mukesh V Shah · Starlite Convenience | 692 Pine St, Bristol, CT 06010-6923 | Grocery Beer | 2009-09-23 ~ 2010-09-22 |
| Madupur S Mukesh Kumar | 35 Claudia Drive, West Haven, CT 06516 | Physician/surgeon | 2004-03-29 ~ 2005-03-31 |
| Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
| Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
| Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
| Maully J Shah | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | ~ 1999-08-31 |
| Bharti J Shah | 30 Beachfront La, New Rochelle, NY 10805 | Physician/surgeon | 2009-06-11 ~ 2010-07-31 |
| Faisal M. Shah | 16 Templer Way, Hazlet, NJ 07730-1605 | Physician/surgeon | 2012-06-07 ~ 2013-06-30 |
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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).