AJIT J KOKKAT
Physician/surgeon


Address: 150 Mansfield Ave, Suite B, Willimantic, CT 06266

AJIT J KOKKAT (Credential# 561123) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

AJIT J KOKKAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043541. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 150 Mansfield Ave, Suite B, Willimantic, CT 06266. The current status is active.

Basic Information

Licensee Name AJIT J KOKKAT
Credential ID 561123
Credential Number 1.043541
Credential Type Physician/Surgeon
Business Address 150 Mansfield Ave, Suite B
Willimantic
CT 06266
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-06-17
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
409069 CSP.0037721 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-07-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 150 MANSFIELD AVE, SUITE B
City WILLIMANTIC
State CT
Zip Code 06266

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Steve Harris Po Box 15, South Windham, CT 06266 Medication Administration Certification 2020-08-12 ~ 2022-08-11
Claire L Dobrolet 130 Babcock Hill Rd, South Windham, CT 06266 Registered Nurse 2020-09-01 ~ 2021-08-31
Timothy B Cormier 21 Old Windham Road, South Windham, CT 06266 Professional Counselor 2020-06-01 ~ 2021-05-31
Donna Kervin 32 Type Road, South Windham, CT 06266 Notary Public Appointment 2015-02-19 ~ 2020-02-28
Kristin M Dancosse 12 Type Rd, South Windham, CT 06266 Registered Nurse 2020-07-01 ~ 2021-06-30
American Legion Dugout Club Crackow Drive, Willimantic, CT 06266 Club Liquor 2019-09-25 ~ 2021-01-24
Paula M Haney Machine Shop Hl, South Windham, CT 06266 Physical Therapist 2020-07-01 ~ 2021-06-30
Aria Webb 127 Babcock Hill Road, South Windham, CT 06266 Medication Administration Certification 2020-04-21 ~ 2022-04-21
Vasilios Papathanasiou · Acropolis Home Improvement 1114 Windham Rd, South Windham, CT 06266 Home Improvement Contractor 2020-03-30 ~ 2020-11-30
Alyssa R Fischetti 34 Eastview Ter, South Windham, CT 06266 Pharmacy Technician 2020-04-01 ~ 2021-03-31
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Competitor

Search similar business entities

City WILLIMANTIC
Zip Code 06266
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WILLIMANTIC

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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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