SUSHRUT S SHAH (Credential# 562526) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2009. The license expiration date date is October 31, 2010. The license status is INACTIVE.
SUSHRUT S SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044944. The credential type is physician/surgeon. The effective date is November 1, 2009. The expiration date is October 31, 2010. The business address is 130 Cherry Ln, Wynnewood, PA 19096-1220. The current status is inactive.
Licensee Name | SUSHRUT S SHAH |
Credential ID | 562526 |
Credential Number | 1.044944 |
Credential Type | Physician/Surgeon |
Business Address |
130 Cherry Ln Wynnewood PA 19096-1220 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-12-05 |
Effective Date | 2009-11-01 |
Expiration Date | 2010-10-31 |
Refresh Date | 2011-02-03 |
Street Address | 130 CHERRY LN |
City | WYNNEWOOD |
State | PA |
Zip Code | 19096-1220 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy Lauren Cohen | 226 Lloyd Lane, Wynnewood, PA 19096 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
Rodman Hilltop, Lp.p | 308 E. Lancater Avenue, Wynnewood, PA 19096 | Securities - Exemptions | 2020-01-22 ~ |
Adoptions From The Heart Inc | 30-31 Hampstead Circle, Wynnewood, PA 19096 | Public Charity | 2020-06-01 ~ 2021-05-31 |
James F Edelstein | 936 Clover Hill Rd, Wynnewood, PA 19096 | Dentist | 2020-01-01 ~ 2020-12-31 |
Ralph C Gallo | 505 Sussex Rd, Wynnewood, PA 19096 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Lonnie J Hovey | 610 Fariston Drive, Wynnewood, PA 19096 | Architect | 2019-08-01 ~ 2020-07-31 |
Alan E Donnenfeld | 510 S. Sydbury Lane, Wynnewood, PA 19096 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
David L Perman | 737 Argyle Rd, Wynnewood, PA 19096 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Thomas M Moody | 907 Clover Hill Rd, Wynnewood, PA 19096 | Professional Engineer | 1998-11-12 ~ 1999-01-31 |
Jonathan Dyer | 302 Hamilton Rd, Wynnewood, PA 19096 | Architect | 2011-08-01 ~ 2012-07-31 |
Find all Licenses in zip 19096 |
City | WYNNEWOOD |
Zip Code | 19096 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WYNNEWOOD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
Ami A Shah | 245 East 58th St, Apt 12a, New York, NY 10022 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
Meghna Shah | 115 Ivy Ln, South Windsor, CT 06074 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
Faisal M. Shah | 16 Templer Way, Hazlet, NJ 07730-1605 | Physician/surgeon | 2012-06-07 ~ 2013-06-30 |
Khushali Shah | 40 Prospect Ave Apt 2-2f, Norwalk, CT 06850-3719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sachin J Shah | 27 Bowman Dr, Greenwich, CT 06831-3236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Neel P Shah | 39 Hospital Ave, Danbury, CT 06810-6027 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
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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).