AMITABH R RAM MD (Credential# 552567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is May 31, 2011. The license status is INACTIVE.
AMITABH R RAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034972. The credential type is physician/surgeon. The effective date is June 1, 2010. The expiration date is May 31, 2011. The business address is 21b Liberty Dr, Hebron, CT 06248-1553. The current status is inactive.
| Licensee Name | AMITABH R RAM MD |
| Business Name | COMMUNITY HEALTH SERVICES |
| Credential ID | 552567 |
| Credential Number | 1.034972 |
| Credential Type | Physician/Surgeon |
| Business Address |
21b Liberty Dr Hebron CT 06248-1553 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-24 |
| Effective Date | 2010-06-01 |
| Expiration Date | 2011-05-31 |
| Refresh Date | 2011-09-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 167792 | CSP.0023992 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 21B LIBERTY DR |
| City | HEBRON |
| State | CT |
| Zip Code | 06248-1553 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Yencho | 21b Liberty Dr, Hebron, CT 06248-1553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah C Hilding | 23a Liberty Dr, Hebron, CT 06248-1553 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David N Steinberg | 23b Liberty Dr, Hebron, CT 06248-1553 | Chiropractor | 2020-06-01 ~ 2021-05-31 |
| Donald P Rossler Dmd | 7 Liberty Dr Ste 2, Hebron, CT 06248-1553 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Tri-country Fitness LLC | 7 Liberty Dr, Hebron, CT 06248-1553 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ying Li | 44 Barbers Way, Hebron, CT 06248 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Joan B Pethigal | 331 West Street, Hebron, CT 06248 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Hunter Alexis Ralston | 46 Tannery Hill Ln, Hebron, CT 06248 | Professional Counselor Associate | ~ |
| Ashley L O'neill | 65 Slocum Rd, Hebron, CT 06248 | Master's Level Social Worker | ~ |
| Elaine R Kirchherr · Lauterwasser | 39 Scarboro Rd, Hebron, CT 06248 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie Blier | 49 Joel Drive, Hebron, CT 06248 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
| Gary Silva | 85 Jones St., Hebron, CT 06248 | Medication Administration Certification | 2018-06-20 ~ 2020-06-19 |
| Hengzhe An | 32 Main St,#4, Hebron, CT 06248 | Nail Technician | ~ |
| Serge P Arel | 22 Tannery Hill Lane, Hebron, CT 06248 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christine A Mattson | 73 Jan Drive, Hebron, CT 06248 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06248 | |||
| City | HEBRON |
| Zip Code | 06248 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HEBRON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Services, Inc. | 701 Suite A #210 Cottage Grove Road, Bloomfield, CT 06002 | Outpatient Clinic | 2012-09-28 ~ 2016-09-30 |
| Community Health Services Inc. · Community Health Services, Inc. | 500 Albany Ave, Hartford, CT 06120-2508 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Community Health Plan Services Inc · Juana Clarke | Community Health Plan Services Inc, Hartford, CT 06120 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Community Health Center Friendship School Based Health Services | 24 Rope Ferry Road, Waterford, CT 06385 | Outpatient Clinic | 2019-01-18 ~ 2021-12-31 |
| Community Health Services Inc | 500 Albany Ave, Hartford, CT 06120-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Health Center Stafford Hgh School Based Health Services | 145 Orcuttville Rd, Stafford Springs, CT 06076-3730 | Psychiatric Outpatient Clinic | 2018-02-23 ~ 2021-12-31 |
| Home & Community Health Services, Inc. | 101 Phoenix Ave, Enfield, CT 06082-4471 | Home Health Care | 2016-01-01 ~ 2018-12-31 |
| Home & Community Health Services Inc. · Home & Community Health Services, Inc. | 101 Phoenix Ave, Enfield, CT 06082-4471 | Home Health Care | 2015-04-01 ~ 2018-03-31 |
| Community Health Center The Morgan High School Based Health Services | 71 Killingworth Tpke, Clinton, CT 06413-1359 | Psychiatric Outpatient Clinic | 2018-01-31 ~ 2021-12-31 |
| Community Health Center Pathways Academy School Based Health Services | 35 Bishop St, East Haven, CT 06512-2939 | Psychiatric Outpatient Clinic | 2018-08-29 ~ 2022-06-30 |
Please comment or provide details below to improve the information on AMITABH R RAM 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).