REENA KAPOOR MD (Credential# 562867) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
REENA KAPOOR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045285. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 34 Park Street, New Haven, CT 06519. The current status is active.
| Licensee Name | REENA KAPOOR MD |
| Credential ID | 562867 |
| Credential Number | 1.045285 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Park Street New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-04-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 506492 | CSP.0043702 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 471995 | CSP.0041542 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-27 | 2007-06-27 - 2008-02-29 | INACTIVE |
| Street Address | 34 Park Street |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dale D Sebastian | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Carlos A Salgado | 34 Park Street, New Haven, CT 06519 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Allison N Ponce | 34 Park Street, New Haven, CT 06519 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Eliza Christine Buelt | 34 Park Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Kristin Sorlie | 34 Park Street, New Haven, CT 06519 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jai Shah | 34 Park Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bonu Kapoor-mohimen | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shreya Kapoor | 18733 Frankfort St, Northridge, CA 91324-4523 | Physician/surgeon | 2011-09-27 ~ 2012-04-30 |
| Rachna Kapoor | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shweta Kapoor | 11127 Fermill Ct, Richmond, TX 77407-1650 | Physician/surgeon | 2020-06-18 ~ 2021-03-31 |
| Sudhir Kapoor Md | 33901 Nauticus Isle, Danapoint, CA 92629 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Aarti Kapoor | 40 Newport Parkway, Jersey City, NJ 07310 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Ashish Vikrant Kapoor | 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 | Physician/surgeon | 2019-11-27 ~ 2020-07-31 |
| Renu Bazaz-kapoor | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Akshay Kapoor | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Reena S Patel | 52 Coltsfoot Cir, Glastonbury, CT 06033-1312 | Registered Nurse | ~ |
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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).