RAVINDER BOORGULA (Credential# 1512810) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RAVINDER BOORGULA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061524. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 110 Derby Ln, Lafayette, LA 70508. The current status is active.
| Licensee Name | RAVINDER BOORGULA |
| Credential ID | 1512810 |
| Credential Number | 1.061524 |
| Credential Type | Physician/Surgeon |
| Business Address |
110 Derby Ln Lafayette LA 70508 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-27 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1531339 | CSP.0069122 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 110 derby Ln |
| City | lafayette |
| State | LA |
| Zip Code | 70508 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luke E Conner · Cpl Systems Inc | 280 Industrial Pkwy, Lafayette, LA 70508 | Electrical Unlimited Contractor | ~ |
| Joann Davis | 121 Durham Drive, Lafayette, LA 70508 | Registered Nurse | 2003-10-03 ~ 2004-07-31 |
| Dianne E Breedlove | 131 Vivian Drive, Lafayette, LA 70508 | Speech and Language Pathologist | ~ 1997-02-28 |
| Diane P Farley | 111 Boulder Drive, Lafayette, LA 70508 | Registered Nurse | 2003-02-28 ~ 2004-03-31 |
| Tanya M Hargrave | 140 Kingspointe Circle, Lafayette, LA 70508 | Registered Nurse | 2002-10-22 ~ 2003-12-31 |
| Roberta L Reisdorf | 714 E. Kaliste Saloon Road, Lafayette, LA 70508 | Physical Therapist | ~ 1998-03-31 |
| Maria Gabrielle Macko | 202 Meadow Gate Dr, Lafayette, LA 70508-1852 | Speech and Language Pathologist | 2019-10-10 ~ 2020-06-30 |
| Richard Fernandez | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 | Registered Nurse | 2019-09-30 ~ 2020-09-30 |
| Home Sleep Delivered LLC | 625 E Kaliste Saloom Rd Ste 200, Lafayette, LA 70508-2540 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-10-24 ~ 2020-06-30 |
| Deborah A Aponte | 207 Edie Ann Dr, Lafayette, LA 70508-5324 | Hairdresser/cosmetician | 2016-04-01 ~ 2018-03-31 |
| Find all Licenses in zip 70508 | |||
| City | lafayette |
| Zip Code | 70508 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + lafayette |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ravinder Mittal | CT | Physician/surgeon | 1982-07-27 ~ 1985-09-30 |
| Ravinder Sohal | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Ravinder Gandhi | 149 Downey Drive, Manchester, CT 06040 | Physician/surgeon | 1996-03-25 ~ 1997-01-31 |
| Ravinder R Cheruku | 104-60 Queens Blvd, Forest Hills, NY 11375 | Physician/surgeon | ~ 1999-03-31 |
| Ravinder Mamtani | 19 Creekside Road, Hopewell Junction, NY 12533 | Physician/surgeon | 2003-05-16 ~ 2004-05-31 |
| Ravinder R Annamaneni · Suburban Pharmacy | 344 N Main St, West Hartford, CT 06117-2510 | Druggist Liquor | 2018-02-14 ~ 2019-03-21 |
| Ravinder Singh | 31 Catherine St, Norwalk, CT 06851-4523 | Emergency Medical Technician | 2017-09-27 ~ 2020-07-01 |
| Ravinder R Annamaneni · Bonneville Pharmacy | 77 Westcott Rd, Danielson, CT 06239-2929 | Druggist Liquor | 2014-12-21 ~ 2015-12-20 |
| Ravinder Bassi | 1230 Highfield Ct Apt 303, Bethel Park, PA 15102-4126 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Ravinder K Maniktala | 2820 N. 48th Street, Lincoln, NE 68504 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on RAVINDER BOORGULA.
| 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).