NEELAM MOHAPATRA (Credential# 562716) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
NEELAM MOHAPATRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045134. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 17 Forsgate Terrace, Annandale, NJ 08801. The current status is inactive.
| Licensee Name | NEELAM MOHAPATRA |
| Credential ID | 562716 |
| Credential Number | 1.045134 |
| Credential Type | Physician/Surgeon |
| Business Address |
17 Forsgate Terrace Annandale NJ 08801 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-02-21 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 893990 | CSP.0046466 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-11 | 2009-09-11 - 2011-02-28 | INACTIVE |
| 464520 | CSP.0041184 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-06 | 2007-03-06 - 2008-02-29 | INACTIVE |
| Street Address | 17 Forsgate Terrace |
| City | Annandale |
| State | NJ |
| Zip Code | 08801 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip E Sumner Jr | 2 Bedford Court, Annandale, NJ 08801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kathleen M Chruszcz · Stabler | 21 Timber Ridge Drive, Annandale, NJ 08801 | Licensed Practical Nurse | 2019-03-01 ~ 2020-02-29 |
| Leo J Frey IIi | 6 Grandin Dr, Annandale, NJ 08801 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Judy M Linger Md | 11 Hidden Valley Road, Annandale, NJ 08801 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Robert J. Sitler | 12 Grandin Terrace, Annandale, NJ 08801 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| Justin S Bagley | 1 East St., Annandale, NJ 08801 | Physical Therapist | 2009-02-26 ~ 2010-02-28 |
| Virginia Seminara | 2 N Star Dr, Annandale, NJ 08801 | Architect | ~ |
| Lisa M Siefert | 5 Oxford Dr, Annandale, NJ 08801 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Caitlin N Nugent | 32 Meadowview Drive, Annandale, NJ 08801 | Registered Nurse | 2015-09-24 ~ 2016-04-30 |
| Thomas N Julian | 17 Farview Dr, Annandale, NJ 08801 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Find all Licenses in zip 08801 | |||
| City | Annandale |
| Zip Code | 08801 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Annandale |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neelam Patel | 394 Stobe Ave, Staten Island, NY 10306-5246 | Physician/surgeon | 2011-08-12 ~ 2012-01-31 |
| Neelam Tailor | 101 Forest Dr, Springfield, NJ 07081-1161 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Smita Mohapatra | 42 Snowberry Ln, Unionville, CT 06085-1574 | Pharmacy Technician | 2013-08-19 ~ 2014-03-31 |
| Robert Mohapatra | 107 Thornton St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2004-08-25 ~ 2005-02-28 |
| Sherry Singh Mohapatra Md | 107 Thornton St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2004-09-28 ~ 2005-02-28 |
| Neelam Kc | 96 Venice Pl, East Haven, CT 06512-1428 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Neelam S Iqbal | 41 Kent Ter, Watertown, CT 06795-1803 | Pharmacy Technician | 2016-04-01 ~ 2017-03-31 |
| Neelam P Ruchandani | 122 High St, Shelton, CT 06484-3205 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Neelam Khetpal | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on NEELAM MOHAPATRA.
| 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).