KAUSHIK J PATEL (Credential# 548106) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 10, 1998. The license expiration date date is October 31, 1999. The license status is INACTIVE.
KAUSHIK J PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029916. The credential type is physician/surgeon. The effective date is August 10, 1998. The expiration date is October 31, 1999. The business address is 501 S Sixth Street, Champaign, IL 61820. The current status is inactive.
| Licensee Name | KAUSHIK J PATEL |
| Credential ID | 548106 |
| Credential Number | 1.029916 |
| Credential Type | Physician/Surgeon |
| Business Address |
501 S Sixth Street Champaign IL 61820 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-04-28 |
| Effective Date | 1998-08-10 |
| Expiration Date | 1999-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 501 S SIXTH STREET |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eres Consultants Inc · Mike I Darter | 505 W University, Champaign, IL 61820 | Professional Engineering Corporation | 2002-07-21 ~ 2003-07-20 |
| David M Rempe | 8 Bel-aire Ct, Champaign, IL 61820 | Professional Engineer | 1800-12-27 ~ 1992-01-31 |
| Jennifer L Vincenzo | 1834 Valley Road, Champaign, IL 61820 | Physical Therapist | 2004-05-25 ~ 2005-06-30 |
| Independence Holding Company LLC · Complete Care Pharmacy | 14 E Washington St Ste C, Champaign, IL 61820-3677 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
| Ryan M Vincenzo | 1834 Valley Rd, Champaign, IL 61820-7114 | Registered Nurse | 2004-05-13 ~ 2005-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alban Ingram Miller Jr | 1708 Foxborough Ct, Champaign, IL 61822-8503 | Physician/surgeon | 2020-06-05 ~ 2021-02-28 |
| R Scott Bower | 926 Waterview Way, Champaign, IL 61822 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John Anthony Agapis | 919 W Church St, Champaign, IL 61821-3331 | Dentist | ~ |
| Viviene Neriz Villanueva Vicedo-sandico | 910 Newcastle Dr Apt 7, Champaign, IL 61822-1826 | Physical Therapist | 2020-02-10 ~ 2020-12-31 |
| Muna Zughayer | 1004 S Harrington Dr, Champaign, IL 61821-3328 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Janya Bharat Swami | 904 Newcastle Dr Apt 2, Champaign, IL 61822-1818 | Controlled Substance Registration for Practitioner | 2019-12-11 ~ 2021-02-28 |
| Haley Leone Morrissey | 3909 Farhills Drive, Champaign, IL 61822 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Terry L Davis Jr | 712 Lauterbur Ln, Champaign, IL 61822 | Fire Protection Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Timothy W Dolan | 1711 Gentry Square Ln Apt 108, Champaign, IL 61821-5978 | Engineer-in-training | 2008-06-10 ~ 2018-06-10 |
| Christine L Stout | 614 Pomona Dr, Champaign, IL 61822 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in CHAMPAIGN | |||
| City | CHAMPAIGN |
| Zip Code | 61820 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHAMPAIGN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sashank Kaushik | 76 Huxley Dr, Buffalo, NY 14226-4511 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Raj Kaushik | 545 Sawmill Road, West Haven, CT 06516 | Physician/surgeon | 1982-09-23 ~ 1984-02-28 |
| Shaifali Kaushik | 100 Egret Court, Yorktown, VA 23692 | Physician/surgeon | 2007-11-01 ~ 2008-11-30 |
| Kaushik Das | 4 Westchester Park Drive, 4th Floor, White Plains, NY 10604 | Physician/surgeon | ~ |
| Kaushik Patel · Klanko's | 192 Wakelee Avenue, Ansonia, CT 06401 | Grocery Beer | ~ |
| Kaushik M Patel · Norton Package Store | 1566 Chapel St, New Haven, CT 06511-4251 | Package Store Liquor | 2019-08-16 ~ 2020-08-15 |
| Ramya Manasvini Kaushik | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Neeru N Kaushik | 805 Kings Highway East, Fairfield, CT 06825 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
| Krunal Patel | 2800 E Ajo Way, Tucson, AZ 85704 | Physician/surgeon | ~ |
| Nirmal S Patel | 24 Cognewaugh Rd, Cos Cob, CT 06807-1722 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).