PRERNA GANJOO
Physician/surgeon


Address: 220 Locust St Apt 765, Philadelphia, PA 19106-3935

PRERNA GANJOO (Credential# 1205819) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.

Business Overview

PRERNA GANJOO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052894. The credential type is physician/surgeon. The effective date is March 28, 2014. The expiration date is March 31, 2015. The business address is 220 Locust St Apt 765, Philadelphia, PA 19106-3935. The current status is inactive.

Basic Information

Licensee Name PRERNA GANJOO
Credential ID 1205819
Credential Number 1.052894
Credential Type Physician/Surgeon
Business Address 220 Locust St Apt 765
Philadelphia
PA 19106-3935
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-03-28
Effective Date 2014-03-28
Expiration Date 2015-03-31
Refresh Date 2015-07-04

Office Location

Street Address 220 LOCUST ST APT 765
City PHILADELPHIA
State PA
Zip Code 19106-3935

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Richard A Newton Public Ledger Bldg Suite 1123, Philadelphia, PA 19106 Landscape Architect 2019-10-23 ~ 2020-07-31
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Competitor

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City PHILADELPHIA
Zip Code 19106
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PHILADELPHIA

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Dataset Information

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).

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