RAJA FATTALEH (Credential# 555778) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RAJA FATTALEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038188. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 353 Pomfret St, Putnam, CT 06260-1835. The current status is active.
| Licensee Name | RAJA FATTALEH |
| Credential ID | 555778 |
| Credential Number | 1.038188 |
| Credential Type | Physician/Surgeon |
| Business Address |
353 Pomfret St Putnam CT 06260-1835 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-12 |
| Street Address | 353 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1835 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Farrington | 203 Pomfret St # B, Putnam, CT 06260-1835 | Paramedic | 2020-05-01 ~ 2021-04-30 |
| Islam M Dehis | 233 Pomfret St, Putnam, CT 06260-1835 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Nicole Kandolin | 203 Pomfret St, Putnam, CT 06260-1835 | Sealed Ticket Operator | ~ |
| Christopher R Payette Dpm | 263 Pomfret St, Putnam, CT 06260-1835 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Variety Vending | 291 Pomfret St, Putnam, CT 06260-1835 | Vending Machine Operator | 2011-07-01 ~ 2012-06-30 |
| Roger G Corriveau · East Coast Home Improvement | 203 Pomfret St Unit A, Putnam, CT 06260-1835 | Home Improvement Contractor | 2014-02-25 ~ 2014-11-30 |
| Advantage Home Medical LLC · Theodore Hudon | 213 Pomfret St, Putnam, CT 06260-1835 | Secondhand Dealer of Bedding & Upholstered Furniture | 2018-05-17 ~ 2018-05-17 |
| Kyle C Cimochowski | 203 Pomfret St # A, Putnam, CT 06260-1835 | Emergency Medical Technician | 2018-01-29 ~ 2020-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raja Fattaleh Md | 353 Pomfret Street, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raja T Mallavarapu | 2 Oxford Lane, Harriman, NY 10926 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Raja Bobba | 386 Scenic Drive, Hamilton, Ontario, L9C7A7 | Physician/surgeon | 2008-11-17 ~ 2009-10-31 |
| Junaid Raja | 19 Howard Ave, Southington, CT 06489 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Anusha Raja | 33 Sylvan Ave Apt 610, New Haven, CT 06519-1060 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Vice Rei Ponche Raja | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-12-16 ~ 2004-12-15 |
| Raja S Shunkishela | 30 Nanel Dr, Glastonbury, CT 06033-1155 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Raja R Sharma | 90 Nathaniel St, Torrington, CT 06790 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Florija Raja | 65 Lasky Rd, Beacon Falls, CT 06403-1287 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Muddassar A Raja | 53 Deerfield Rd, Windsor, CT 06095-4206 | Real Estate Salesperson | 2011-06-01 ~ 2012-05-31 |
Please comment or provide details below to improve the information on RAJA FATTALEH.
| 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).