VISWA NATHAN (Credential# 544255) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
VISWA NATHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022726. The credential type is physician/surgeon. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 40,grouse Lane, Woodbridge, CT 06525. The current status is active.
| Licensee Name | VISWA NATHAN |
| Credential ID | 544255 |
| Credential Number | 1.022726 |
| Credential Type | Physician/Surgeon |
| Business Address |
40,grouse Lane Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1981-04-09 |
| Effective Date | 2019-05-01 |
| Expiration Date | 2020-04-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 143011 | CSP.0010055 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 40,grouse lane |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathan Moses Szajnberg | CT | Physician/surgeon | ~ |
| Nathan A Kruger Md | 10 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Nathan T Patel | 9 Spinnaker Dr, Barrington, RI 02806-2831 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Nathan Haecker | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Sidney Nathan Klaus | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 1964-08-19 ~ 1988-06-30 |
| Ely B Nathan Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2003-10-27 ~ 2004-04-30 |
| Nathan D Mark | 261 Jones Hollow Rd, Marlborough, CT 06447-1147 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Nathan Ivan Yost | 15 Rockview Ter, New Haven, CT 06511-1619 | Physician/surgeon | ~ 1983-12-31 |
| Michael Nathan Boggs | 1141 Falls Rd, Shelburne, VT 05482 | Physician/surgeon | ~ |
| Mohammad U Nasir Khan | 190 Nathan Dr, Morganville, NJ 07751 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
Please comment or provide details below to improve the information on VISWA NATHAN.
| 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).