SHILPA R DESAI (Credential# 743641) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SHILPA R DESAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001892. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1336 Long Ridge Rd, Stamford, CT 06903-4504. The current status is active.
| Licensee Name | SHILPA R DESAI |
| Credential ID | 743641 |
| Credential Number | 23.001892 |
| Credential Type | Physician Assistant |
| Business Address |
1336 Long Ridge Rd Stamford CT 06903-4504 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-03-16 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1367881 | CSP.0063606 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-08-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 467280 | CSP.0041320 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-04-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 748284 | 26.001366 | Respiratory Care Practitioner | 1997-08-22 | - 1998-06-30 | INACTIVE |
| Street Address | 1336 LONG RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903-4504 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corinne L Steigerwald · William Pitt Real Estate Ltd | 1336 Long Ridge Rd, Stamford, CT 06903 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
| Corinne Steigerwald | 1336 Long Ridge Rd, Stamford, CT 06903 | Certified Residential Real Estate Appraiser | 1995-05-01 ~ 1996-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cassovia Consulting & Land Development Corp | 1338 Long Ridge Rd, Stamford, CT 06903-4504 | New Home Construction Contractor | 2019-11-15 ~ 2021-09-30 |
| Jaclyn M. Conte | 1334 Long Ridge Rd, Stamford, CT 06903-4504 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
| Antoinette M Price | 1396 Long Ridge Rd, Stamford, CT 06903-4504 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Tommaso Conte | 1334 Long Ridge Rd, Stamford, CT 06903-4504 | Plumbing & Piping Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Irizarry · Irizarry Masonry | 140 Red Fox Rd, Stamford, CT 06903 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Byongran Min | 60 Larkspur Rd, Stamford, CT 06903 | Nail Technician | ~ |
| Mark D Creedon | 155 Woodchuck Rd, Stamford, CT 06903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ellyn Shander Md | 1933 Long Ridge Rd, Stamford, CT 06903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Genna L Meier | 340 Webbs Hill Road, Stamford, CT 06903 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Elizabeth A Porcheddu | 367 Briar Brae Road, Stamford, CT 06903 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Sarah Elizabeth Woxholdt | 65 Cousins Rd, Stamford, CT 06903 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cynthia L Castronovo-morabito · Lovallo/cameron | 37 Gutzon Borglum Rd, Stamford, CT 06903 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Michele1 Sukatski | 61 Shady Ln, Stamford, CT 06903 | Medication Administration Certification | ~ |
| Joan M Bellantoni | 239 Fishing Trail, Stamford, CT 06903 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06903 | |||
| City | STAMFORD |
| Zip Code | 06903 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shivani N Desai Pa | 297 Northridge Court, Southington, CT 06489 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Ramizahmed K Desai | 23 Esquire Dr Unit C, Manchester, CT 06042-2454 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Shilpa Manjunath Gowda | 110 4th Ave Apt 4e, Brooklyn, NY 11217-2788 | Physician/surgeon | ~ |
| Shilpa Guntaka | 282 Washington St, Hartford, CT 06106-3322 | Resident Physician | 2016-06-28 ~ 2022-06-30 |
| Shilpa Kadam | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Shilpa Rajashekar | 21 South Road, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shilpa Saxena | 574 Summit Ave, Jersey City, NJ 07306 | Physician/surgeon | 2019-10-01 ~ 2020-10-31 |
| Shilpa K Vaidya | 3 Pine Lodge Place, The Woodlands, TX 77382-2015 | Physician/surgeon | 2002-06-25 ~ 2003-03-31 |
| Shilpa Mikkilineni | 13098 Westheimer Road, Houston, TX 77077 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Rakhi P Desai | 58 Queen Terrace, Southington, CT 06489 | Physical Therapist Assistant | 2009-05-28 ~ 2010-05-31 |
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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).