PRAVEEN S MUDUMBA (Credential# 1521702) is licensed (Perfusionist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
PRAVEEN S MUDUMBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #83.000127. The credential type is perfusionist. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 533 Green Valley Rd, Paramus, NJ 07652. The current status is active.
| Licensee Name | PRAVEEN S MUDUMBA |
| Credential ID | 1521702 |
| Credential Number | 83.000127 |
| Credential Type | Perfusionist |
| Business Address |
533 Green Valley Rd Paramus NJ 07652 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-16 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-08-02 |
| Street Address | 533 Green Valley Rd |
| City | Paramus |
| State | NJ |
| Zip Code | 07652 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelo Spiotta | 1 Harold Street, Paramus, NJ 07652 | Barber | 2020-09-01 ~ 2022-08-31 |
| Lisa Nguyen Wang | 24 Kendrick Street, Paramus, NJ 07652 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| George C Christolias | 210 Concord Dr, Paramus, NJ 07652 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Haizhu Jewel Hu | 757 Walnut Street, Paramus, NJ 07652 | Emergency Medical Technician | ~ |
| Interchem Corporation | 120 Route 17n Suite 115, Paramus, NJ 07652 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Saddle River Marketing Concepts Inc | 600 Valley Health Plaza, Paramus, NJ 07652 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Wg Critical Care LLC | 120 Route 17n, Suite 130, Paramus, NJ 07652 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Summerstone Sc, LLC | 205 Robin Rd, Ste 120, Paramus, NJ 07652 | Securities - Exemptions | 2020-04-29 ~ |
| Ns Pharma, Inc. · N/a | 140 East Ridgewood Avenue, Suite 280s, Paramus, NJ 07652 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-01-16 ~ |
| Nebil Bill Aydin | 140 North Route 17, Paramus, NJ 07652 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 07652 | |||
| City | Paramus |
| Zip Code | 07652 |
| License Type | Perfusionist |
| License Type + County | Perfusionist + Paramus |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Praveen R Kaluvala | 5227 W Adams Ave Apt 701, Temple, TX 76502-4870 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Praveen Doodala | 210 Dixwell Ave, New Haven, CT 06511-4514 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Praveen Veeramachaneni | 160 Sw 117th Ter Apt 302, Pembroke Pines, FL 33025-3491 | Pharmacist | ~ |
| Praveen K Dhulipalla | 6 Thatcher Terrace, Farmington, CT 06032 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Praveen K John | 1 Monroe St, Norwalk, CT 06854-3103 | Emergency Medical Responder | 2017-05-30 ~ 2020-04-01 |
| Praveen K Venisetty | 4262 Redding Cir, Grand Blanc, MI 48439-8089 | Pharmacist | ~ |
| Praveen Kumar Bala | 95 Wakelee Ave, Ansonia, CT 06401-1151 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Praveen Jayapal | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Praveen K Reddy | 44 Addison Dr, Short Hills, NJ 07078-1808 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Praveen Kumar Kodakandla | 12554 Sw 126th Ave, Miami, FL 33186-9037 | Pharmacist | ~ |
Please comment or provide details below to improve the information on PRAVEEN S MUDUMBA.
| 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).