SHASHANK RAVI (Credential# 1422454) 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.
SHASHANK RAVI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065322. 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 4750 El Camino Real Apt 404, Los Altos, CA 94022. The current status is active.
Licensee Name | SHASHANK RAVI |
Credential ID | 1422454 |
Credential Number | CSP.0065322 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4750 El Camino Real Apt 404 Los Altos CA 94022 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-05-09 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1396512 | 1.056102 | Physician/Surgeon | 2017-01-25 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 4750 EL CAMINO REAL APT 404 |
City | LOS ALTOS |
State | CA |
Zip Code | 94022 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Section 32 Fund 3, Lp | 171 Main St, #671, Los Altos, CA 94022 | Securities - Exemptions | 2020-04-23 ~ |
Dwellsy, Inc. | 171 Main Street, Los Altos, CA 94022 | Securities - Coordination | 2019-12-09 ~ 2020-11-06 |
Jean Z Wong | 1011 Via Del Pozo, Los Altos, CA 94022 | Physician/surgeon | 1996-12-09 ~ 1997-12-31 |
Force of Nature Inc. | 73 3rd Street, Suite 15a, Los Altos, CA 94022-2730 | Public Charity | 2006-06-19 ~ 2007-05-31 |
Janelle D.i. Armitage | 101 1st St # 482, Los Altos, CA 94022-2750 | Registered Nurse | 2012-01-03 ~ 2013-01-31 |
Usa Together Inc | 171 Main St # 106, Los Altos, CA 94022-2912 | Public Charity | 2011-06-01 ~ 2012-05-31 |
Sempervirens Fund | 419 S San Antonio Rd Ste 211, Los Altos, CA 94022-3640 | Public Charity | 2014-06-01 ~ 2015-06-30 |
Kazimiera M Luce | 182 Eleanor Ave, Los Altos, CA 94022-3722 | Registered Nurse | 2009-05-12 ~ 2010-07-31 |
David John Worhunsky | 520 Gabilan St Apt 11, Los Altos, CA 94022-4041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Xin Liu | 2220 Homestead Ct, Los Altos, CA 94024 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
Amelia A Fisher | 22398 Ainsworth Dr, Los Altos, CA 94024 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
Sophia Osborne Karolczak | 862 Manor Way, Los Altos, CA 94024 | Emergency Medical Technician | ~ |
Institute for Brain Potential | 782 Vista Grande Ave, Los Altos, CA 94024-3160 | Public Charity | 2016-05-24 ~ 2017-03-31 |
Emma H Rimando | P.o. Box 1112, Los Altos, CA 94023-1112 | Registered Nurse | 2008-10-03 ~ 2009-10-31 |
Randolph S Page | 1650 Morton Avenue, Los Altos, CA 94024 | Registered Nurse | 2008-04-08 ~ 2008-12-31 |
City | LOS ALTOS |
Zip Code | 94022 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LOS ALTOS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shashank Sama | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ravi P Kaza | 81 Woodbridge Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sandeep Ravi | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ravi Ramachandran | 123 York St Apt 7e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-31 ~ 2013-02-28 |
Ravi K Thakur Md | Po Box 1092, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Ravi K Athwani | 301 E Main St, Bay Shore, NY 11706-8408 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
Ravi K. Mangal | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ravi Parikh | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Ravi Shah | 171 Lake Ave, Colonia, NJ 07067-1354 | Controlled Substance Registration for Practitioner | 2020-04-15 ~ 2021-02-28 |
Ravi M Kagali | 2 Washburn Ter Apt 2b, Saugerties, NY 12477 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 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).