SHASHIKALA M SINGH
Physician/surgeon


Address: 100 Jefferson Sq #4e, Waterbury, CT 06906

SHASHIKALA M SINGH (Credential# 552407) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is April 30, 1996. The license status is INACTIVE.

Business Overview

SHASHIKALA M SINGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034811. The credential type is physician/surgeon. The expiration date is April 30, 1996. The business address is 100 Jefferson Sq #4e, Waterbury, CT 06906. The current status is inactive.

Basic Information

Licensee Name SHASHIKALA M SINGH
Credential ID 552407
Credential Number 1.034811
Credential Type Physician/Surgeon
Business Address 100 Jefferson Sq #4e
Waterbury
CT 06906
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-08-25
Expiration Date 1996-04-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162306 CSP.0023621 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-09-07 - 1996-02-28 INACTIVE

Office Location

Street Address 100 JEFFERSON SQ #4E
City WATERBURY
State CT
Zip Code 06906

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City WATERBURY
Zip Code 06906
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WATERBURY

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Dataset Information

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).

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