PRATIBHA S SHUKLA (Credential# 558060) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 30, 2002. The license expiration date date is April 30, 2003. The license status is INACTIVE.
PRATIBHA S SHUKLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040477. The credential type is physician/surgeon. The effective date is May 30, 2002. The expiration date is April 30, 2003. The business address is 9 Elizabeth Street, West Haven, CT 06516. The current status is inactive.
| Licensee Name | PRATIBHA S SHUKLA |
| Credential ID | 558060 |
| Credential Number | 1.040477 |
| Credential Type | Physician/Surgeon |
| Business Address |
9 Elizabeth Street West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-05-30 |
| Effective Date | 2002-05-30 |
| Expiration Date | 2003-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 9 Elizabeth Street |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Popowski | 9 Elizabeth Street, West Haven, CT 06516 | Notary Public Appointment | 1987-06-18 ~ 1992-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pratibha D Vagal Md | 201 Westerly Cir, Ludlow, MA 01056-1623 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Pratibha A Ankola | 1000 Haddonfield Berlin Rd, Voorhees, NJ 08043-3520 | Physician/surgeon | ~ |
| Shruti A Shukla | 8003 Inverness Lakes Trl, Fort Wayne, IN 46804-3845 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anshu Shukla | 900 23rd St Nw, Washington, DC 20037 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Anant Shukla | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Shikha Shukla | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Prateek Shukla | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2019-06-30 |
| Pratibha Dhakshinamurthy | 571 Cascade Dr, Fairfield, CT 06825-2300 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Pratibha G Mayekar | 111 Pulaski Street, Torrington, CT 06790-2823 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Pratibha Thippa | 2351 Magnolia Bridge Drive, San Ramon, CA 94582 | Emergency Medical Technician | ~ |
Please comment or provide details below to improve the information on PRATIBHA S SHUKLA.
| 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).