RADHIKA MATHUR MD (Credential# 561524) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 5, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.
RADHIKA MATHUR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043942. The credential type is physician/surgeon. The effective date is January 5, 2009. The expiration date is February 28, 2010. The business address is 267 Grant St, Bridgeport, CT 06610. The current status is inactive.
| Licensee Name | RADHIKA MATHUR MD |
| Credential ID | 561524 |
| Credential Number | 1.043942 |
| Credential Type | Physician/Surgeon |
| Business Address |
267 Grant St Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-11-16 |
| Effective Date | 2009-01-05 |
| Expiration Date | 2010-02-28 |
| Refresh Date | 2010-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379396 | CSP.0035694 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-15 | 2008-05-22 - 2009-02-28 | INACTIVE |
| Street Address | 267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Aishwariya S Vegunta | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Rasha T Ismail | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| Benjamin Hans Jeuk | 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Lucia Plichtova | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Kwabena Sefah Nketiah Sarpong | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Prajna D'silva | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Fabricio Malaguez Webber | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chand Mathur | 630 Mix Ave., Hamden, CT 06514 | Physician/surgeon | 2003-11-25 ~ 2005-01-31 |
| Mahan Mathur | 62 Norton Ave, Guilford, CT 06437-3412 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Bhagat P Mathur | 11 Carriage Drive, Colchester, CT 06415 | Physician/surgeon | 2004-02-04 ~ 2005-03-31 |
| Madhu P Mathur | 2777 Summer St Ste 604, Stamford, CT 06905-4323 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Radhika Siriki | 37 Carrington Dr, Greenwich, CT 06831-3119 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vinita Mathur | 1450 Elm Hill Pike, Nashville, TN 37210-4531 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Radhika Vijayan | 780 Flushing Avenue, Brooklyn, NY 11206 | Physician/surgeon | 1983-12-20 ~ 1988-07-31 |
| Radhika S Datar | 5520 Park Ave, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Radhika Malhotra | 494 Dogwood Road, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Radhika R Hariharan | 1082 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | ~ 1997-07-31 |
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| 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).