NAVEEN GNANABAKTHAN (Credential# 1307629) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NAVEEN GNANABAKTHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054659. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208. The current status is active.
| Licensee Name | NAVEEN GNANABAKTHAN |
| Credential ID | 1307629 |
| Credential Number | 1.054659 |
| Credential Type | Physician/Surgeon |
| Business Address |
1498 Pacific Ave Ste 400 Tacoma WA 98402-4208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-06 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1326221 | CSP.0061891 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-12-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1498 PACIFIC AVE STE 400 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-4208 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathan Paul Lemay | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Rahul Chakraverty | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ssga Funds | 909 A Street, Tacoma, WA 98402 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Give Inkind, Inc. | 1102 A Street, Tacoma, WA 98402 | Securities - Exemptions | 2019-12-11 ~ |
| Susan B Mccullough | 525 Broadway Ave., Apt. 105, Tacoma, WA 98402 | Registered Nurse | 2014-05-01 ~ 2015-04-30 |
| Gregory R Lewis | 708 Broadway Ste 110, Tacoma, WA 98402-3778 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher B Phair | 1250 Pacific Ave Ste 701, Tacoma, WA 98402-4318 | Professional Engineer | 2013-02-05 ~ 2013-01-31 |
| Edward P Huletz | 1201 Pacific Ave Ste 600, Tacoma, WA 98402-4384 | Real Estate Broker | ~ |
| Geneva Foundation | 917 Pacific Ave Ste 600, Tacoma, WA 98402-4437 | Public Charity | 2014-12-01 ~ 2015-11-30 |
| Merchant Du Vin Corporation · Merchant Du Vin | 917 Pacific Ave Ste 501, Tacoma, WA 98402-4497 | Out of State Shipper Liquor | 2020-04-24 ~ 2021-04-23 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trina Marshall | 7106 S Madison St, Tacoma, WA 98409-2464 | Hairdresser/cosmetician | 2020-05-07 ~ 2021-07-31 |
| Abigail Marie Goodale | 1748 S Cushman Ave, Tacoma, WA 98405-3534 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| David E Figueroa | 3202 S Mason Ave Apt N301, Tacoma, WA 98409 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Brecka Leigh Mayo | 1631 S 96th St, Tacoma, WA 98444 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Matthew S Ross | 5601 N. 37th St Apt Kk-04, Tacoma, WA 98407 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Diane M Wolford | Po Box 64007, Tacoma, WA 98464-0007 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Joyella Diane Jones | 7615 S G St, Tacoma, WA 98408-5308 | Registered Nurse | 2020-01-07 ~ 2020-11-30 |
| Glenn J Bizier | Po Box 112543, Tacoma, WA 98411 | Repairer of Weighing & Measuring Devices | 2019-01-01 ~ 2019-12-31 |
| Phintso P D Bhutia | 102 N G Street, Unit 621, Tacoma, WA 98403 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Alexander J Jannen | 307 N G St, Tacoma, WA 98403-2220 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in TACOMA | |||
| City | TACOMA |
| Zip Code | 98402 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TACOMA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Naveen Garg | 290 Rue Picasso, Dollard-des-ormeaux, QC H9A 3K3 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Naveen S Pereira | 40 County Road, Barrington, RI 02806 | Physician/surgeon | 1997-10-28 ~ 1998-10-31 |
| Naveen Lajpatrai Gupta | 89 Delafield St Apt 1, New Brunswick, NJ 08901-1745 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Naveen R Kanathur | 38 Devonshire Dr, South Windsor, CT 06074 | Physician/surgeon | 2015-02-20 ~ 2015-04-30 |
| Naveen Singanamala | 467 Wolfel Ave, Saint Marys, PA 15857-1244 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Naveen C Reddy | 623 Eagle Roack Ave, West Orange, NJ 07052 | Physician/surgeon | 1997-09-29 ~ 1998-09-30 |
| Naveen Parupalli | 70 Lafayette Dr, Livingston, NJ 07039 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Naveen L Gumedelli | 12 Stillwell Ct, Bridewater, NJ 08807 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Naveen C Kapur | 9 Kent Rd, Newtown, CT 06470 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Devishri Naveen | 29 Van Buren Ave Apt I1, Norwalk, CT 06850-3327 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on NAVEEN GNANABAKTHAN.
| 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).