RAVI KISHORE NARRA (Credential# 1159874) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
RAVI KISHORE NARRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054585. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 1165 Club Circle, Brookfield, WI 53005. The current status is lapsed.
| Licensee Name | RAVI KISHORE NARRA |
| Credential ID | 1159874 |
| Credential Number | CSP.0054585 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1165 Club Circle Brookfield WI 53005 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-04-25 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1149585 | 1.051777 | Physician/Surgeon | 2013-04-12 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 1165 CLUB CIRCLE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald L. Allen | Lasikplus Vision Center 15455 W Bluemound Road, Brookfield, WI 53005 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Sarah D Cohn | 910 Lake Rd, Brookfield, WI 53005 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Brookfield Pharmaceuticals, LLC · N/a | 15460 W. Capital Drive, Brookfield, WI 53005 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-12-20 ~ |
| Khosrow Farnia | 3520 Goetz Dr, Brookfield, WI 53005 | Professional Engineer | 1800-12-27 ~ 1990-01-31 |
| William J Meyer · Klug & Smith Co | 1910 Church Vw Dr, Brookfield, WI 53005 | Professional Engineer | 1989-01-19 ~ 1990-01-31 |
| Theodore Glawtschew | 16470 Dane Ct E, Brookfield, WI 53005-1302 | Architect | 2012-08-01 ~ 2013-07-31 |
| Krista M Letourneau | 4565 N 134th St, Brookfield, WI 53005-1717 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Lutheran Association of Missionaries and Pilots - Lamp Inc. | 3525 N 124 Street, Brookfield, WI 53005-2498 | Public Charity-exempt From Financial Requirements | ~ |
| Marissa L Hoeft | 15920 Ridgefield Ct, Brookfield, WI 53005-3580 | Registered Nurse | 2014-06-18 ~ 2015-02-28 |
| Mark C Herr · Plunkett Raysich Architects LLP | 15355 Woodbridge Rd, Brookfield, WI 53005-3645 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 53005 | |||
| City | BROOKFIELD |
| Zip Code | 53005 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Akshita Narra | 75 Hockanum Blvd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Narra R Songco | 1729 Litchfield Rd, Watertown, CT 06795-1018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kishore S Thakur | Po Box 246, Uncasville, CT 06382 | Controlled Substance Registration for Practitioner | 2017-09-22 ~ 2019-02-28 |
| Shweta Kishore | 967 Asylum Ave Apt 1f, Hartford, CT 06105-2412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kishore Udyavar Md | 600 Meridian St Extension, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 1998-03-17 ~ 1999-02-28 |
| Kishore Nallu | 150 Southfield Ave Apt 1428, Stamford, CT 06902-7763 | Controlled Substance Registration for Practitioner | 2014-12-31 ~ 2017-02-28 |
| Kishore Kumar | 4 Cheryl Drive, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandeep Kishore | 109 Church St Unit 521, New Haven, CT 06510-3022 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kishore Karri | 1770 Grand Concourse, Bronx, NY 10453-7692 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anita R Kishore Md | 1012 Chapel Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on RAVI KISHORE NARRA.
| 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).