SIVARAMAN GOUNDER MD (Credential# 895917) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SIVARAMAN GOUNDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046728. The credential type is controlled substance registration for practitioner. The effective date is September 23, 2009. The expiration date is February 28, 2011. The business address is 969 Bloomfield Ave, Glen Ridge, NJ 07028. The current status is inactive.
| Licensee Name | SIVARAMAN GOUNDER MD |
| Credential ID | 895917 |
| Credential Number | CSP.0046728 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
969 Bloomfield Ave Glen Ridge NJ 07028 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-09-23 |
| Effective Date | 2009-09-23 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 889774 | 1.048080 | Physician/Surgeon | 2009-08-24 | 2009-08-24 - 2010-07-31 | INACTIVE |
| Street Address | 969 BLOOMFIELD AVE |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yingho H. Leung | 137 Forest Avenue, Glen Ridge, NJ 07028 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Vincent Frank Cusumano | 297 Ridgewood Ave, Glenridge, NJ 07028 | Architect | 2019-09-09 ~ 2020-07-31 |
| Glenn M Denoble | 11 Laurel Pl, Glen Ridge, NJ 07028 | Professional Engineer | 1992-01-06 ~ 1993-01-31 |
| Timothy N Delorm | 60 Forest Avenue, Glen Ridge, NJ 07028 | Landscape Architect | 2012-08-01 ~ 2013-07-31 |
| Louis H Feuerstein | 304 Forest Avenue, Glen Ridge, NJ 07028 | Certified Public Accountant Certificate | ~ |
| Kevin D. Woertz | 431 Ridgewood Avenue, Glen Ridge, NJ 07028 | Certified Public Accountant Certificate | ~ |
| Geraldine Sibio | 125 Hawthorne Avenue, Glen Ridge, NJ 07028 | Chiropractor | ~ 1996-12-31 |
| Craig H Thame | Glen Ridge, NJ 07028 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Nicholas H Bauer | 16 Edgewood Road, Glen Ridge, NJ 07028 | Emergency Medical Technician | 2008-01-14 ~ 2010-01-01 |
| Gerald V Nielsten | 140 Forest Ave, Glen Ridge, NJ 07028 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Find all Licenses in zip 07028 | |||
| City | GLEN RIDGE |
| Zip Code | 07028 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLEN RIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivashankar Sivaraman Md | 45-a Monroe St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2008-02-13 ~ 2009-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chan K Rha Md | 39 2nd St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on SIVARAMAN GOUNDER MD.
| 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).