JAYA PRAKASH PRAKASH SUGUNARAJ (Credential# 1164858) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
JAYA PRAKASH PRAKASH SUGUNARAJ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052164. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 75 Abbey Road, Danville, PA 17821. The current status is active.
| Licensee Name | JAYA PRAKASH PRAKASH SUGUNARAJ |
| Credential ID | 1164858 |
| Credential Number | 1.052164 |
| Credential Type | Physician/Surgeon |
| Business Address |
75 Abbey Road Danville PA 17821 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-21 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-08-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1159851 | CSP.0054581 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-21 | 2013-06-21 - 2015-02-28 | INACTIVE |
| Street Address | 75 abbey road |
| City | Danville |
| State | PA |
| Zip Code | 17821 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane L Carrier | 120 Palmer Drive, Danville, PA 17821 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Martin Michael Beninsky | 19 East Market St, Danville, PA 17821 | Registered Nurse | 2017-10-06 ~ 2018-10-31 |
| Stuart N Hoffman | 19 Magnolia Drive, Danville, PA 17821 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Atarad N Shirani | 11 Edgewood Dr, Danville, PA 17821 | Real Estate Salesperson | 2010-08-02 ~ 2011-05-31 |
| Melanie Joy Cunningham Aprn | 215 Kelly's Dam Rd, Danville, PA 17821 | Controlled Substance Registration for Practitioner | 2011-11-17 ~ 2013-02-28 |
| Carol Ann Pearson | Rd 2 Box 11, Danville, PA 17821 | Registered Nurse | 1982-08-31 ~ 1985-06-30 |
| Manivel Eswaran | E-1 Mahoning Terrace, Danville, PA 17821 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Austine Mengnjo Md | 12 Nicholas Avenue, Danville, PA 17821 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| William F Pharr | 186 Diehl Rd, Danville, PA 17821 | Physician/surgeon | 1997-07-31 ~ 1998-07-31 |
| Marysusan Christian | 114 E Center St, Danville, PA 17821 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Find all Licenses in zip 17821 | |||
| City | Danville |
| Zip Code | 17821 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Danville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prakash Reddy | 900 Morris Ave Apt 1, Larned, KS 67550-2425 | Physician/surgeon | 1989-02-09 ~ 1990-11-30 |
| Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Satya Prakash R Atmakuri Md | 21 Elm St, New Milford, CT 06776 | Physician/surgeon | 2007-10-19 ~ 2008-10-31 |
| Prakash B Chougule | 110 Juniper Dr, East Greenwich, RI 02818-1370 | Physician/surgeon | ~ |
| Atma Prakash Nayak | 31 Shannon Street, Brighton, MA 02135 | Physician/surgeon | ~ |
| Shashi Prakash | 2215 Chelmsford La, St Cloud, MN 56301 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Manisha R Prakash | 18 Brownwood Lane, Norwich, CT 06360 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Seema Prakash Bakhru | 25 Stonewall Ln, Ridgefield, CT 06877-1124 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Prakash J Kamalnath | 150 West 56 St 4601, New York, NY 10019 | Physician/surgeon | 2004-02-03 ~ 2005-01-31 |
| Prakash Sampath | 118 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2007-01-02 ~ 2008-02-29 |
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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).