SANTOSH S PURI (Credential# 545111) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 27, 1995. The license expiration date date is June 30, 1996. The license status is INACTIVE.
SANTOSH S PURI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024662. The credential type is physician/surgeon. The effective date is June 27, 1995. The expiration date is June 30, 1996. The business address is 21 Bittersweet La, Wilbraham, MA 01095. The current status is inactive.
Licensee Name | SANTOSH S PURI |
Credential ID | 545111 |
Credential Number | 1.024662 |
Credential Type | Physician/Surgeon |
Business Address |
21 Bittersweet La Wilbraham MA 01095 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1985-09-19 |
Effective Date | 1995-06-27 |
Expiration Date | 1996-06-30 |
Refresh Date | 2009-07-08 |
Street Address | 21 BITTERSWEET LA |
City | WILBRAHAM |
State | MA |
Zip Code | 01095 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 01095 |
City | WILBRAHAM |
Zip Code | 01095 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WILBRAHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shubhidner Puri | 19 Thorp Dr, Weston, CT 06883-2430 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Santosh B Reddy | 1212 Savannah Rd, Lewis, DE 19958 | Physician/surgeon | 1981-01-01 ~ 1993-03-31 |
Santosh K Mukka | 2185 Hone Ave Apt 1a, Bronx, NY 10461-1240 | Physician/surgeon | 2014-06-30 ~ 2015-02-28 |
Santosh Doddamane Do | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Maya B Puri | 2919 Auburn Path, Sugar Land, TX 77479-6732 | Physician/surgeon | ~ |
Beata A Puri | 4100 Rachel Terrace, Apt 10, Pine Brook, NJ 07058 | Physician/surgeon | 2000-08-09 ~ 2001-07-31 |
Santosh Swaminathan | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Santosh D Vaghela | 32 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Santosh K Saha | 3417 Van Wie Dr E, Baldwinsville, NY 13027-8911 | Professional Engineer | 1989-04-19 ~ 1990-01-31 |
Divya Puri | 24 Liberty Sq Apt 387, Bloomfield, CT 06002-5404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).