SUPRIYA K. ATIANAND (Credential# 1190449) 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.
SUPRIYA K. ATIANAND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056312. 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 16 Cadorna Road, Worcester, MA 01605. The current status is lapsed.
| Licensee Name | SUPRIYA K. ATIANAND |
| Credential ID | 1190449 |
| Credential Number | CSP.0056312 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Cadorna Road Worcester MA 01605 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-10-24 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1175897 | 1.052398 | Physician/Surgeon | 2013-09-17 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 16 CADORNA ROAD |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gertrude Mensah | 3 Henry Terrace, Worcester, MA 01605 | Licensed Practical Nurse | ~ |
| Azadeh Emam | 509 Plantation St Apt 412, Worcester, MA 01605 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Barbera Associates Real Estate LLC | 451 Grove St, Worcester, MA 01605 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Jacob Robert Bledsoe | 1 Innovation Drive, Biotech 3 Bldg., Room 230, Worcester, MA 01605 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael R Barbera | 2 Terrance Dr, Worcester, MA 01605 | Real Estate Broker | ~ |
| Mark S Distefano | 292 Lincoln Street, Worcester, MA 01605 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Pankaj A. Ksheersagar Md | 119 Belmont Street, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Golden Group Construction Corp. | 20 Tattan Farm Road, Worcester, MA 01605 | Home Improvement Contractor | 2015-05-22 ~ 2015-11-30 |
| Scott C Boulette | 112 Paine St, Worcester, MA 01605 | Repairer of Weighing & Measuring Devices | 1996-01-01 ~ 1996-12-31 |
| Find all Licenses in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Supriya Gupta | 263 Farmington Ave, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-04-07 ~ 2013-02-28 |
| Supriya Singh | Yale New Haven Hospital, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on SUPRIYA K. ATIANAND.
| 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).