AVINASH P TANTRI (Credential# 562743) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
AVINASH P TANTRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045161. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 31 Porter St, Lakeville, CT 06039-1210. The current status is active.
| Licensee Name | AVINASH P TANTRI |
| Credential ID | 562743 |
| Credential Number | 1.045161 |
| Credential Type | Physician/Surgeon |
| Business Address |
31 Porter St Lakeville CT 06039-1210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 474280 | CSP.0041641 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 Porter St |
| City | LAKEVILLE |
| State | CT |
| Zip Code | 06039-1210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William M Kirber | 31 Porter St, Lakeville, CT 06039 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mizza's Pizza | 6 Ethan Allen St., Lakeville, CT 06039 | Bakery | 2020-07-01 ~ 2021-06-30 |
| William F Willis | P.o. Box 1733 30 Upland Meadow Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Birgit E Jensen · Gesthuysen | Po Box 1841, Lakeville, CT 06039 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Tracy Ann Macgowan | 51 Chatfield Drive, Lakeville, CT 06039 | Real Estate Salesperson | ~ |
| Juliet W Moore | 446 Wells Hill Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Elizabeth Demetriades · Elizabeth Demetriades Architecture | 11 Brook St, Lakeville, CT 06039 | Architect | 2020-08-01 ~ 2021-07-31 |
| Victoria L Aftel · Patorno | 5 Greystone La, Lakeville, CT 06039 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leslie Irene Bell | 5 Reservoir Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan G Vreeland | 331 Wells Hill Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06039 | |||
| City | LAKEVILLE |
| Zip Code | 06039 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LAKEVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kankani Tantri N Desilva | 35 Blauvelt Dr, Harrington Park, NJ 07640-1332 | Physician/surgeon | 1976-02-19 ~ 1983-04-30 |
| Avinash Gupta | 114 Peachtree Ct., Orangeburg, SC 29118 | Physician/surgeon | 1999-08-03 ~ 1999-11-30 |
| Avinash R. Gulrajani | 112 Quarry Road, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Rachel P Tantri | 11 Orchard Street, Lakeville, CT 06039 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Avinash T Cherian | 16 Dublin St, Gorham, NH 03581-1504 | Dentist | 2011-03-01 ~ 2012-02-29 |
| Avinash G Pradhan | 812 Sw Washington Ste 1020, Portland, OR 97205 | Architect | 2013-08-01 ~ 2014-07-31 |
| Avinash Tuta | 29 Baggott St, West Haven, CT 06516-2804 | Pharmacy Technician | 2014-04-01 ~ 2015-03-31 |
| Avinash B Shenoy | 98 Hedgehog Ln, West Simsbury, CT 06092-2104 | Emergency Medical Technician | 2009-10-14 ~ 2011-01-01 |
| Avinash M Srikanth | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Avinash Mishra | 28 Lily Pond Rd, Harwinton, CT 06791-2329 | Speech and Language Pathologist | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on AVINASH P TANTRI.
| 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).