DEEPTHI CHAITANYA KAGOLANU (Credential# 1603476) 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.
DEEPTHI CHAITANYA KAGOLANU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069620. 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 57 Herkimer St, Brooklyn, NY 11216-2780. The current status is active.
| Licensee Name | DEEPTHI CHAITANYA KAGOLANU |
| Credential ID | 1603476 |
| Credential Number | CSP.0069620 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
57 Herkimer St Brooklyn NY 11216-2780 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1527670 | 1.061951 | Physician/Surgeon | 2018-09-24 | 2019-01-01 - 2019-12-31 | INACTIVE |
| Street Address | 57 HERKIMER ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-2780 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hormuz S Batliboi | 402 Putnam Ave, Brooklyn, NY 11216 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shawn Robert Kelly | 649 Prospect Place, Brooklyn, NY 11216 | Registered Nurse | ~ |
| Ismail Hossain | 1180b Fulton Street, Brooklyn, NY 11216 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Kieva Washington | 339 Hancock St, Brooklyn, NY 11216 | Registered Nurse | ~ |
| Sera E Mcnutt | 409 Eastern Pkwy, Brooklyn, NY 11216 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Beatrice Elizabeth Springle | 1321 Bedford Avenue Apt 1, Brooklyn, NY 11216 | Registered Nurse | 2019-08-28 ~ 2020-06-30 |
| Julianne M Giordano | 228 Tompkins Avenue, Brooklyn, NY 11216 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Stefanie Marie Loomis | 1054 Dean Street Apt 3, Brooklyn, NY 11216 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Tracey Easton | 333 Jefferson Ave, Brooklyn, NY 11216 | Master's Level Social Worker | 2019-07-01 ~ 2020-06-30 |
| Shean Barrett | 97 Decatur, Apt 1, Brooklyn, NY 11216 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 11216 | |||
| City | BROOKLYN |
| Zip Code | 11216 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deconda Deepthi | 211 Pomeroy Ave Apt 1110, Meriden, CT 06450-1781 | Controlled Substance Registration for Practitioner | 2009-04-10 ~ 2011-02-28 |
| Chaitanya C Reddy | 56 Franklin St, Waterbury, CT 06706-1281 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Chaitanya S. Chandravanka Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chaitanya P Puranik | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2018-03-14 ~ 2019-02-28 |
| Deepthi Kodali | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitanya Images | 1a 115/3 (old) West of Chord Rd, Bangalore, 560044 | Manufacturer of Bedding & Upholstered Furniture | 2015-04-21 ~ 2016-04-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).