SURESH S SHAH MD (Credential# 545386) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 10, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
SURESH S SHAH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025282. The credential type is physician/surgeon. The effective date is January 10, 2006. The expiration date is February 28, 2007. The business address is 7128 Ridgewood Dr, Lockport, NY 14094. The current status is inactive.
| Licensee Name | SURESH S SHAH MD |
| Credential ID | 545386 |
| Credential Number | 1.025282 |
| Credential Type | Physician/Surgeon |
| Business Address |
7128 Ridgewood Dr Lockport NY 14094 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-01-11 |
| Effective Date | 2006-01-10 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 316656 | CSP.0032593 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 7128 RIDGEWOOD DR |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina Francesca Bordieri | 380 Walnut St, Lockport, NY 14094 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| James L Klino | 5788 Stone Rd, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elizabeth Linda Ricketts | 7008 Arrowhead Drive, Lockport, NY 14094 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Brian D Shiah | 6972 Lockwood Ct, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Wayne J Giambrone | 4822 Upper Mountain Rd, Lockport, NY 14094 | Professional Engineer | ~ |
| James Costanzo | 6942 Lockwood Lane, Lockport, NY 14094 | Home Improvement Salesperson | 2007-03-02 ~ 2007-11-30 |
| Mitchel Swan | 5809 Constock Rd., Lockport, NY 14094 | Hoisting Equipment Operator | 2004-04-02 ~ 2006-04-01 |
| Bbx Inc · Boston Buffalo | 7310 Chestnut Ridge Road, Lockport, NY 14094 | Transporter Liquor | 2015-03-06 ~ 2016-03-05 |
| Edward M Schiller | 5860 Dunnigan Rd, Lockport, NY 14094 | Professional Engineer | 1995-01-18 ~ 1996-01-31 |
| Charles A Dahlke | 6701 S Transit Rd, Lockport, NY 14094 | Architect | 2013-02-25 ~ 2013-07-31 |
| Find all Licenses in zip 14094 | |||
| City | LOCKPORT |
| Zip Code | 14094 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LOCKPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suresh Khanna | 11 Oxridge Rd, Elmsford, NY 10523 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Suresh J Tanna | 5001 Statesman Dr, Irving, TX 75063-2414 | Physician/surgeon | ~ |
| Suresh K Gulati | 45 Calumet Rd, Winchester, MA 01890 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Vinod Suresh | 551 Observer Hwy Apt 11d, Hoboken, NJ 07030-6563 | Physician/surgeon | 2020-06-22 ~ 2021-05-31 |
| Suresh R Shah | 17 Betmarlea Rd, Norwalk, CT 06850 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Deepa Suresh | 5907 Lake St, Houston, TX 77005-3129 | Physician/surgeon | 2009-07-24 ~ 2010-05-31 |
| Suresh Mamidala | 1133 Midland Ave, Bronxville, NY 10708 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Suresh Mandava | 2046 W. Main St. Ste 2, Stamford, CT 06902 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Padma Suresh | 10 Linmoor Terrace, Lexington, MA 02420 | Physician/surgeon | 2009-06-01 ~ 2010-06-30 |
| Suresh M Shah Md | 29 Cascade Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SURESH S SHAH MD.
| 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).