SARA BATATA MD
Physician/surgeon


Address: 45 Grand Street, Worcester, MA 038320

SARA BATATA MD (Credential# 555910) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 22, 2001. The license expiration date date is March 31, 2002. The license status is INACTIVE.

Business Overview

SARA BATATA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038320. The credential type is physician/surgeon. The effective date is January 22, 2001. The expiration date is March 31, 2002. The business address is 45 Grand Street, Worcester, MA 038320. The current status is inactive.

Basic Information

Licensee Name SARA BATATA MD
Credential ID 555910
Credential Number 1.038320
Credential Type Physician/Surgeon
Business Address 45 Grand Street
Worcester
MA 038320
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-12-13
Effective Date 2001-01-22
Expiration Date 2002-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
229957 CSP.0029192 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-01-27 - 2001-02-28 INACTIVE

Office Location

Street Address 45 GRAND STREET
City WORCESTER
State MA
Zip Code 038320

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Bruce A Woda 1 Innovation Dr, Worcester, MA 01605-4307 Physician/surgeon 2020-08-01 ~ 2021-07-31
Ruben Peralta 2 Brookshire Rd, Worcester, MA 01609 Physician/surgeon 2020-06-01 ~ 2021-05-31
James A Ando 28 Cobblestone Ln, Worcester, MA 01606-1205 Audiologist 2020-08-01 ~ 2021-07-31
Tien-shu Miao 210 Park Ave # 121, Worcester, MA 01609-2246 Pharmacy Intern 2020-06-22 ~ 2021-09-30
Ewelina Szydlik 7 Englewood Ave Apt 1, Worcester, MA 01603-2116 Pharmacist 2020-06-19 ~ 2022-01-31
Kylie M Kuck 4 Anderson Ave, Worcester, MA 01604-2318 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City WORCESTER
Zip Code 03832
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WORCESTER

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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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