RATNA B. BASAK (Credential# 1175880) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2014. The license expiration date date is December 31, 2014. The license status is INACTIVE.
RATNA B. BASAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052369. The credential type is physician/surgeon. The effective date is January 1, 2014. The expiration date is December 31, 2014. The business address is 19 Locust St, Greenvale, NY 11548-1110. The current status is inactive.
Licensee Name | RATNA B. BASAK |
Credential ID | 1175880 |
Credential Number | 1.052369 |
Credential Type | Physician/Surgeon |
Business Address |
19 Locust St Greenvale NY 11548-1110 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2013-08-30 |
Effective Date | 2014-01-01 |
Expiration Date | 2014-12-31 |
Refresh Date | 2015-04-05 |
Street Address | 19 LOCUST ST |
City | GREENVALE |
State | NY |
Zip Code | 11548-1110 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hsf Enterprises Inc | 180 Wheatly Plaza, Greenvale, NY 11548 | Bakery | 1997-07-01 ~ 1998-06-30 |
Jacob M Koningseder | P.o. Box 32, Greenvale, NY 11548 | Emergency Medical Technician | 2008-01-31 ~ 2010-01-01 |
Rgi Inc | 1 Plaza Rd Ste 201, Greenvale, NY 11548-1027 | Importer of Bedding & Upholstered Furniture | 2015-05-28 ~ 2016-04-30 |
Sarin Siriamonthep | 6 Cedar St, Greenvale, NY 11548-1101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
City | GREENVALE |
Zip Code | 11548 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GREENVALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bijan K Basak | Lakeside Mem Hosp, Brockport, NY 14420 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
Ratna Mangu | 7 Hale Rd, Burlington, NJ 08016-3800 | Pharmacist | ~ |
Ratna K Kammuluri | 39 Buckland St, Manchester, CT 06042 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Ratna Edwards | 22 North St, Wolcott, CT 06716-1333 | Pharmacy Intern | 2018-03-12 ~ 2020-09-30 |
Venkata Ratna Pothula | 25 Gosselin Rd, Nashua, NH 03062-1401 | Pharmacist | ~ |
Ratna Sethi | 1485 First Avenue, New York, NY 10021 | Dental Hygienist | 2003-06-02 ~ 2004-02-29 |
Ratna C Roman | 6831 Norborne Ave, Dearborn Heights, MI 48127-2011 | Pharmacist | ~ |
Ratna Ravulapalli | 962 Main St Apt 3a, Hackensack, NJ 07601-5132 | Temporary Permit To Practice Pharmacy | 2013-03-04 ~ 2013-06-04 |
Ratna G Balagani Veeranki | 66 Aspen Avenue, South Grafton, MA 01560 | Physical Therapist | 2014-09-01 ~ 2015-08-31 |
Priya Ratna Madduri | 1818 Matthew Glen Ln, Richmond, TX 77469-1689 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
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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).