PRATIK M PATEL MD
Physician/surgeon


Address: 4 Koster Boulevard, Edison, NJ 08837

PRATIK M PATEL MD (Credential# 554083) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is August 31, 1998. The license status is INACTIVE.

Business Overview

PRATIK M PATEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036492. The credential type is physician/surgeon. The expiration date is August 31, 1998. The business address is 4 Koster Boulevard, Edison, NJ 08837. The current status is inactive.

Basic Information

Licensee Name PRATIK M PATEL MD
Credential ID 554083
Credential Number 1.036492
Credential Type Physician/Surgeon
Business Address 4 Koster Boulevard
Edison
NJ 08837
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-11-14
Expiration Date 1998-08-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
190961 CSP.0026342 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-12-05 - 1998-02-28 INACTIVE

Office Location

Street Address 4 KOSTER BOULEVARD
City EDISON
State NJ
Zip Code 08837

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Ravikumar Talluri 471 Parsonage Rd, Edison, NJ 08837 Pharmacist 2020-02-01 ~ 2022-01-31
William Grant & Sons Inc 130 Fieldcrest Ave, Edison, NJ 08837 Out of State Shipper Liquor 2019-12-16 ~ 2020-12-15
Diane P Thurman 189 Jackson Avenue, Edison, NJ 08837 Notary Public Appointment 2002-03-01 ~ 2007-02-28
Alco Industries Inc 120 Northfield Ave, Edison, NJ 08837 Manufacturer of Bedding & Upholstered Furniture 2004-05-01 ~ 2005-04-30
Zheng Zhang Usa(nj) Inc 78 Mayfield Avenue, Edison, 08837 Manufacturer of Bedding & Upholstered Furniture 2012-05-01 ~ 2013-04-30
Usha Pai 6 Daffodil Dr, Edison, NJ 08837 Physician/surgeon 2014-02-01 ~ 2015-01-31
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Competitor

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City EDISON
Zip Code 08837
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EDISON

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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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