AJAY V SRIVASTAVA MD
Physician/surgeon


Address: 597 Westport Avenue, Apt A 302, Norwalk, CT 06851

AJAY V SRIVASTAVA MD (Credential# 564014) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.

Business Overview

AJAY V SRIVASTAVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046432. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 597 Westport Avenue, Apt A 302, Norwalk, CT 06851. The current status is inactive.

Basic Information

Licensee Name AJAY V SRIVASTAVA MD
Credential ID 564014
Credential Number 1.046432
Credential Type Physician/Surgeon
Business Address 597 Westport Avenue, Apt A 302
Norwalk
CT 06851
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-04-21
Effective Date 2012-04-01
Expiration Date 2013-03-31
Refresh Date 2013-07-03

Other licenses

ID Credential Code Credential Type Issue Term Status
511155 CSP.0044221 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-05 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 597 Westport Avenue, Apt A 302
City Norwalk
State CT
Zip Code 06851

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Louis A Diberardino 5 Merrill Rd, Norwalk, CT 06851 Architect 2020-08-01 ~ 2021-07-31
William N Andriopoulos 21 Maurice St, Norwalk, CT 06851 Architect 2020-08-01 ~ 2021-07-31
Donald D Overton 5 Honey Hill Road, Norwalk, CT 06851 Real Estate Salesperson 2020-06-27 ~ 2021-05-31
A & J Shoe Corporation · Hawley Lane Shoes 499 Westport Ave, Norwalk, CT 06851 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Michael T Coppolo 21 Morgan Avenue, Norwalk, CT 06851 Real Estate Salesperson ~
Catherine Mills 27c Aiken Street, Norwalk, CT 06851 Real Estate Salesperson 2020-06-24 ~ 2021-05-31
Theresa B Ross-whitaker · Ross 7 Disesa Court, Norwalk, CT 06851 Registered Nurse 2020-08-01 ~ 2021-07-31
Michelle P Vincoli 136 Newtown Ave, Norwalk, CT 06851 Professional Counselor 2020-07-01 ~ 2021-06-30
Dunkin Donuts 195 Main Street, Norwalk, CT 06851 Bakery 2020-07-01 ~ 2021-06-30
Jungsoo Kim 430 Main Ave R8, Norwalk, CT 06851 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-23 ~ 2022-05-31
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Competitor

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City Norwalk
Zip Code 06851
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Norwalk

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Dataset Information

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).

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