ARUMBAKAM PURUSHOTHAM (Credential# 543970) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 29, 2020. The license status is ACTIVE.
ARUMBAKAM PURUSHOTHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022062. The credential type is physician/surgeon. The effective date is March 1, 2019. The expiration date is February 29, 2020. The business address is 46 Prince Street, New Haven, CT 06519. The current status is active.
| Licensee Name | ARUMBAKAM PURUSHOTHAM |
| Credential ID | 543970 |
| Credential Number | 1.022062 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Prince Street New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-05-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2020-02-29 |
| Refresh Date | 2019-05-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147987 | CSP.0009380 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 46 PRINCE STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Lima Md | 46 Prince Street, New Haven, CT 06519 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Asia G Edusa Md | 46 Prince Street, New Haven, CT 06519 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rogelio G Perez Md | 46 Prince Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ajoy Kapoor Md | 46 Prince Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dawn R. W. Kopel Md | 46 Prince Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert M Mclean Md | 46 Prince Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joan M Messner | 46 Prince Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Connecticut Eyecare Ctr P.C. | 46 Prince Street, New Haven, CT 06519 | Optical Selling Permit | 2017-09-01 ~ 2018-08-31 |
| Donald S Dock | 46 Prince Street, New Haven, CT 06519 | Physician/surgeon | 1996-06-07 ~ 1997-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hemavathy Purushotham | 660 East 98th Street, Apt. 3g, Brooklyn, NY 11236 | Physician/surgeon | 2009-06-02 ~ 2010-03-31 |
| Sharath D Purushotham · Chutni Biryani & Noodle Bar | 211 Main St, Stamford, CT 06901-2920 | Cafe Liquor | 2020-03-30 ~ 2021-07-29 |
| A Jeyanth Purushotham | 190 Gannet Drive, Southington, CT 06489 | Notary Public Appointment | 2003-06-09 ~ 2008-06-30 |
| Sheila Purushotham | 96 Bristol Street Extension, Branford, CT 06405 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).