NANDINI RAVINDRA MENON (Credential# 1404266) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NANDINI RAVINDRA MENON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064844. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 61 Bradley St, Bristol, CT 06010-5103. The current status is active.
| Licensee Name | NANDINI RAVINDRA MENON |
| Credential ID | 1404266 |
| Credential Number | CSP.0064844 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61 Bradley St Bristol CT 06010-5103 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1379595 | 1.055734 | Physician/Surgeon | 2016-09-20 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 61 BRADLEY ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Frazier | 61 Bradley St, Bristol, CT 06010-5103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert E Hicks Md | 61 Bradley St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Vachio | 61 Bradley St Ste 5, Bristol, CT 06010-5103 | Massage Therapist | 2013-04-01 ~ 2015-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nandini Kolla | 205 Hunters Ln, Newington, CT 06111-4555 | Controlled Substance Registration for Practitioner | 2013-12-31 ~ 2015-02-28 |
| Nandini Kogekar | 36 Maplewood Drive, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nandini Nair | 111 Park Street, Apt 2c, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kavita Menon | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Aravind B Menon Dmd | 101 Stonewall Rd, Salem, CT 06420-4135 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sunil G Menon | 1308 Chapel St, New Haven, CT 06511-4515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meera V Menon | 33 Round Hill Rd, Woodbridge, CT 06525-1228 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jhansi Menon Md | 1035 Aster Ave #2243, Sunnyvale, CA 94086 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Praharsha R Menon Md | Uconn Health Ctr # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Uma Menon | Dept. of Neurology, Yale New Haven Hospital, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2015-07-21 ~ 2017-02-28 |
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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).