SUJATA UPADHYAN
Physician/surgeon


Address: 12 Overbrook Road, Norwalk, CT 06851

SUJATA UPADHYAN (Credential# 555495) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 2, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.

Business Overview

SUJATA UPADHYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037905. The credential type is physician/surgeon. The effective date is July 2, 1999. The expiration date is May 31, 2000. The business address is 12 Overbrook Road, Norwalk, CT 06851. The current status is inactive.

Basic Information

Licensee Name SUJATA UPADHYAN
Credential ID 555495
Credential Number 1.037905
Credential Type Physician/Surgeon
Business Address 12 Overbrook Road
Norwalk
CT 06851
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-02
Effective Date 1999-07-02
Expiration Date 2000-05-31
Refresh Date 2009-07-08

Office Location

Street Address 12 Overbrook Road
City Norwalk
State CT
Zip Code 06851

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City Norwalk
Zip Code 06851
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Norwalk

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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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