DAVID TKESHELASHVILI (Credential# 553705) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DAVID TKESHELASHVILI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036113. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 291 Bear Hill Rd, Bethany, CT 06524-3228. The current status is active.
| Licensee Name | DAVID TKESHELASHVILI |
| Credential ID | 553705 |
| Credential Number | 1.036113 |
| Credential Type | Physician/Surgeon |
| Business Address |
291 Bear Hill Rd Bethany CT 06524-3228 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-06-20 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 215226 | CSP.0028368 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-06-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 291 Bear Hill Rd |
| City | Bethany |
| State | CT |
| Zip Code | 06524-3228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann R Datunashvili | 291 Bear Hill Rd, Bethany, CT 06524-3228 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Sarah Young | 285 Bear Hill Rd, Bethany, CT 06524-3228 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jars of Clay, Contracting & Design LLC | 281 Bear Hill Rd, Bethany, CT 06524-3228 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Alex B Macnamara | 287 Bear Hill Rd, Bethany, CT 06524-3228 | Emergency Medical Responder | 2018-08-03 ~ 2021-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | Bethany |
| Zip Code | 06524 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bethany |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
Please comment or provide details below to improve the information on DAVID TKESHELASHVILI.
| 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).