ASHWIN GOLLERKERI MD
Physician/surgeon


Address: 30 Rising Trail Drive, Cheshire, CT 06410

ASHWIN GOLLERKERI MD (Credential# 554879) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2005. The license expiration date date is April 30, 2006. The license status is INACTIVE.

Business Overview

ASHWIN GOLLERKERI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037289. The credential type is physician/surgeon. The effective date is March 22, 2005. The expiration date is April 30, 2006. The business address is 30 Rising Trail Drive, Cheshire, CT 06410. The current status is inactive.

Basic Information

Licensee Name ASHWIN GOLLERKERI MD
Credential ID 554879
Credential Number 1.037289
Credential Type Physician/Surgeon
Business Address 30 Rising Trail Drive
Cheshire
CT 06410
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-10-02
Effective Date 2005-03-22
Expiration Date 2006-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
215907 CSP.0028450 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 30 RISING TRAIL DRIVE
City CHESHIRE
State CT
Zip Code 06410

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Gunjan Tiyyagura 30 Rising Trail Drive, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mr B's · Bimonte's Pizza Castle 155 Highland Ave, Cheshire, CT 06410 Bakery 2020-07-01 ~ 2021-06-30
Traci L Bonassar 452 Castle Glenn, Cheshire, CT 06410 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Faith H Morico · Hennessey 177 Wallingford Rd, Cheshire, CT 06410 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Renee D Kane 40 Willow St, Cheshire, CT 06410 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Kara Capuano 20 Renee Court, Cheshire, CT 06410 Registered Nurse 2020-07-01 ~ 2021-06-30
Eugenia A Marquez 22 Currier Way, Cheshire, CT 06410 Radiographer 2020-07-01 ~ 2021-06-30
Mahnaz M Emamian 471 West Main St, Cheshire, CT 06410 Esthetician ~
Margarita A. Norris 302 Highland Avenue, Cheshire, CT 06410 Registered Nurse 2020-08-01 ~ 2021-07-31
Wendell D Wallace Juedes 545 Country Club Rd, Cheshire, CT 06410 Podiatrist 2020-04-01 ~ 2021-03-31
Hyunjung An 55 Moneta Ln., Cheshire, CT 06410 Acupuncturist ~
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Competitor

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City CHESHIRE
Zip Code 06410
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CHESHIRE

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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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