KABIR MODY (Credential# 564210) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.
KABIR MODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046628. The credential type is physician/surgeon. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 34 Seminary Hill, West Lebanon, NH 03784. The current status is inactive.
Licensee Name | KABIR MODY |
Credential ID | 564210 |
Credential Number | 1.046628 |
Credential Type | Physician/Surgeon |
Business Address |
34 Seminary Hill West Lebanon NH 03784 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-06-11 |
Effective Date | 2015-05-01 |
Expiration Date | 2016-04-30 |
Refresh Date | 2016-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
507947 | CSP.0043774 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-09 | 2013-06-08 - 2015-02-28 | INACTIVE |
Street Address | 34 Seminary Hill |
City | West Lebanon |
State | NH |
Zip Code | 03784 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keith R Walsh | 24 Chelsea Circle, West Lebanon, NH 03784 | Paramedic | 2020-02-01 ~ 2021-01-31 |
Cynthia H Bolduc | Rr2 Box 79, W Lebanon, NH 03784 | Registered Nurse | 1993-02-25 ~ 1994-01-31 |
Marybeth Durkin | 27 Lash Road, West Lebanon, NH 03784 | Registered Nurse | 1993-11-10 ~ 1994-10-31 |
Nader Moavenian | 13 Gilson Road, West Lebanon, NH 03784 | Dentist | ~ 1998-03-31 |
Beverly J Taylor | 3 Crafts Avenue, West Lebanon, NH 03784 | Dental Hygienist | 2003-11-04 ~ 2004-12-31 |
Linda A Pillsbury | 3 Village Green, West Lebanon, NH 03784 | Physical Therapist | 1997-04-14 ~ 1998-06-30 |
Brian R Shiner | 19 Farman Avenue, West Lebanon, NH 03784 | Physician/surgeon | 2008-03-24 ~ 2008-07-31 |
Joanne E Ortwein | 39 Wildwood Drive, West Lebanon, NH 03784 | Registered Nurse | 2001-10-26 ~ 2002-11-30 |
Alice J Mitchell | 68 East Wilder Rd, West Lebanon, NH 03784 | Registered Nurse | 1981-01-01 ~ 1994-04-30 |
Christopher W Corriveau | 19 Maple St, West Lebanon, NH 03784 | Registered Nurse - Temporary | 2018-04-16 ~ 2018-08-13 |
Find all Licenses in zip 03784 |
City | West Lebanon |
Zip Code | 03784 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + West Lebanon |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hiren I Mody Md | 2 Haddon Rd, New Hyde Park, NY 11040-1936 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sara Kabir | 243 Steele Road, Apt 435, West Hartford, CT 06117 | Physician/surgeon | 2020-02-24 ~ 2020-06-30 |
Saba Kabir | 782 Caldwell Avenue, Valley Stream, NY 11581 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
Shalini Mody Bansil | 50101 Governors Drive, Chapel Hill, NC 27517 | Physician/surgeon | ~ |
Anika Mody | 72 Godfrey Rd W, Weston, CT 06883-1300 | Emergency Medical Technician | ~ |
Anil A Mody | 114 Winthrop Rd, Windsor, CT 06095 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
Mody S Varghese | 9 Wood Street, Danbury, CT 06811 | Registered Nurse | 2007-11-21 ~ 2009-01-31 |
Swati D Mody | 109 Fiddler Green, Stratford, CT 06497 | Occupational Therapist | 1991-07-25 ~ 1993-07-31 |
Farjana Kabir | 45 Maple St Apt 4b, Norwalk, CT 06850-3617 | Pharmacy Technician | 2018-10-11 ~ 2019-03-31 |
Jane T Mody | 17929 Lake Vista Dr, Encino, CA 91316 | Registered Nurse | 1993-07-23 ~ 1994-06-30 |
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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).