SHEILAJA MITTAL (Credential# 553808) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
SHEILAJA MITTAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036216. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 4690 Paradise Dr, Belvedere Tiburon, CA 94920-1056. The current status is active.
Licensee Name | SHEILAJA MITTAL |
Credential ID | 553808 |
Credential Number | 1.036216 |
Credential Type | Physician/Surgeon |
Business Address |
4690 Paradise Dr Belvedere Tiburon CA 94920-1056 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1997-07-18 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-11-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
185845 | CSP.0025871 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-06 - 2002-02-28 | INACTIVE |
Street Address | 4690 PARADISE DR |
City | BELVEDERE TIBURON |
State | CA |
Zip Code | 94920-1056 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allan H Rappaport | Post Office Box 127, Tiburon, CA 94920 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Future Educational Films | One Blackfield Drive #341, Tiburon, CA 94920 | Public Charity | ~ |
David K Gately | P.o. Box 377, Tiburon, CA 94920 | Architect | 1997-08-01 ~ 1998-07-31 |
A Robert Fisher | 320 Golden Gate, Belvedere, CA 94920 | Architect | 1998-08-01 ~ 1999-07-31 |
Daniel Hunter · Carlson Associates Inc | 420 Golden Gate Ave, Belvedere, CA 94920 | Architect | 2005-08-01 ~ 2006-07-31 |
Judith M Taylor | 611 Ridge Road, Tiburon, CA 94920 | Physician/surgeon | 1994-05-11 ~ 1995-07-31 |
H Timmie Wallace | 90 Lyford Drive, Tiburon, CA 94920 | Physical Therapist | 2004-01-20 ~ 2004-11-30 |
Tracy J Bradley · Jeffers | 114 Jefferson Dr, Tiburon, CA 94920 | Registered Nurse | 1999-07-09 ~ 2000-07-31 |
Richard I Barr | 4 Seadrift Landing, Tiburon, CA 94920 | Physician/surgeon | 2004-04-16 ~ 2005-04-30 |
Arthur E Gimmy | 13 Upper Cecilia Way, Tiburon, CA 94920 | Temporary Certified General Real Estate Appraiser | 2004-08-17 ~ 2005-02-17 |
Find all Licenses in zip 94920 |
City | BELVEDERE TIBURON |
Zip Code | 94920 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BELVEDERE TIBURON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ravinder Mittal | CT | Physician/surgeon | 1982-07-27 ~ 1985-09-30 |
Sanjay Mittal | 65 Woodruff Road, Farmington, CT 06032-2025 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Manoj K Mittal | 653 Britton Ave, Staten Island, NY 10304 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Vikrant Mittal | 857 Watling St, Fort Mill, SC 29715-5906 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Niranjan Kumar Mittal | Family Health & Cardiac Center, Brooklyn, NY 11209 | Physician/surgeon | ~ |
Mittal International | 275 Sec. 29 Part-11 Huda, Panipat Haryana, 132103 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-03 ~ 2020-04-30 |
Mittal Handicrafts | 165 Sector 29 Part 2 Huda, Panipat Haryana, I2 132103 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Mittal International | Plot 275 Sector 29 Part 2 Huda, Panipat Haryana, 132103 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Jyoti Mittal | 65 Woodruff Rd, Farmington, CT 06032-2025 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Ashita Mittal | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2022-06-30 |
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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).