SHARMINI M JAYAMAHA (Credential# 554431) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 14, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
SHARMINI M JAYAMAHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036840. The credential type is physician/surgeon. The effective date is April 14, 2000. The expiration date is May 31, 2001. The business address is 21 Cottonwood Avenue, Port Jefferson, NY 11776. The current status is inactive.
Licensee Name | SHARMINI M JAYAMAHA |
Credential ID | 554431 |
Credential Number | 1.036840 |
Credential Type | Physician/Surgeon |
Business Address |
21 Cottonwood Avenue Port Jefferson NY 11776 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-05-08 |
Effective Date | 2000-04-14 |
Expiration Date | 2001-05-31 |
Refresh Date | 2009-07-08 |
Street Address | 21 COTTONWOOD AVENUE |
City | PORT JEFFERSON |
State | NY |
Zip Code | 11776 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Beth Anne Travis | 307 Woodhull Ave, Port Jefferson Station, NY 11776 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
Find all Licenses in zip 11776 |
City | PORT JEFFERSON |
Zip Code | 11776 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PORT JEFFERSON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sharmini Rasakulasuriar Md · Bridgeport Hospitl | C/o Medical Education, Bridgeport, CT 06610 | Physician/surgeon | 1997-12-22 ~ 1998-12-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).