MANISHA KHATIWALA MD (Credential# 556243) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 3, 2003. The license expiration date date is November 30, 2004. The license status is INACTIVE.
MANISHA KHATIWALA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038655. The credential type is physician/surgeon. The effective date is December 3, 2003. The expiration date is November 30, 2004. The business address is 66 Carriage Crossing, Middletown, CT 06457. The current status is inactive.
| Licensee Name | MANISHA KHATIWALA MD |
| Credential ID | 556243 |
| Credential Number | 1.038655 |
| Credential Type | Physician/Surgeon |
| Business Address |
66 Carriage Crossing Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-05-16 |
| Effective Date | 2003-12-03 |
| Expiration Date | 2004-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 238682 | CSP.0029669 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 66 CARRIAGE CROSSING |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manisha Rai | 42 Dogwood Cir, Woodbridge, CT 06525-1248 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Manisha Gupta Md | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Manisha R Prakash | 18 Brownwood Lane, Norwich, CT 06360 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Manisha S Parulekar | 59 Berkshire Place, Apt. 2, Hackensack, NJ 07601-1208 | Physician/surgeon | 2002-08-21 ~ 2003-06-30 |
| Mickey Manisha LLC | 440 Riverside Dr, North Grosvenordale, CT 06255-2164 | Lottery Sales Agent | 2020-01-07 ~ 2021-03-31 |
| Colleen P Khatiwala | 511 Main St Apt 27, West Haven, CT 06516-4254 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Mehul Khatiwala · Ramada East Hartford | 363 Roberts St, East Hartford, CT 06108-3603 | Hotel Liquor (50000 Or More Population) | 2012-11-27 ~ 2013-11-24 |
| Manisha A Labady | 36 Querida St, Bridgeport, CT 06604-1420 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Manisha V Patel | 389 New Britain Rd Apt 3, Berlin, CT 06037-5303 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Manisha M Patel | 27 Bogart Ln, Newington, CT 06111-3205 | Pharmacy Technician | 2015-07-28 ~ 2016-03-31 |
Please comment or provide details below to improve the information on MANISHA KHATIWALA MD.
| 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).