RAVI VIRADIA (Credential# 1596528) 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.
RAVI VIRADIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069433. 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 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353. The current status is active.
| Licensee Name | RAVI VIRADIA |
| Credential ID | 1596528 |
| Credential Number | CSP.0069433 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
195 Eastern Blvd Ste 200 Glastonbury CT 06033-4353 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519894 | 1.061839 | Physician/Surgeon | 2018-08-29 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1653267 | 1.062910-RES | Resident Physician | 2019-08-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 195 EASTERN BLVD STE 200 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4353 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jared Potts | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Resident Physician | 2020-08-01 ~ 2021-07-31 |
| Pamela M Wilson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| H Kirk Watson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Christopher Michael Mccarthy | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jill Putnam | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Controlled Substance Registration for Practitioner | 2020-03-31 ~ 2021-02-28 |
| Benjamin Michael Robichaux | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Duffield Ashmead | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne T Dunwoody | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Deborah Pankonin | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ravi Ramachandran | 123 York St Apt 7e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-31 ~ 2013-02-28 |
| Ravi Shah | 171 Lake Ave, Colonia, NJ 07067-1354 | Controlled Substance Registration for Practitioner | 2020-04-15 ~ 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 P Kaza | 81 Woodbridge Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 |
| Ravi K. Mangal | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ravi K Athwani | 301 E Main St, Bay Shore, NY 11706-8408 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
| Sandeep Ravi | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ravi K Thakur Md | Po Box 1092, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ravi Chopra | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-11 ~ 2015-02-28 |
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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).