PREET MARTAND VARADE (Credential# 1676136) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PREET MARTAND VARADE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064649. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141. The current status is active.
| Licensee Name | PREET MARTAND VARADE |
| Credential ID | 1676136 |
| Credential Number | 1.064649 |
| Credential Type | Physician/Surgeon |
| Business Address |
5220 Jimmy Lee Smith Pkwy Hiram GA 30141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-06 |
| Street Address | 5220 Jimmy Lee Smith Pkwy |
| City | Hiram |
| State | GA |
| Zip Code | 30141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roy Armand Poblete | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Katsnelson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Richard Thomas Jackson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-11-30 |
| Alexander Zubkov | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Nirav Himanshu Shah | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-09-03 ~ 2020-09-30 |
| Amirhossein Zangiabadi | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lilian Moragwa Nyareru | 114 High Point Way, Hiram, GA 30141 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mark N Rubin | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
| Rolanda Jefferson | 79 Kennedy Ct, Hiram, GA 30141 | Registered Nurse - Temporary | 2017-06-28 ~ 2017-10-25 |
| Yolanda J Dillon | 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
| Patricia M Brooks · Mayer | 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 | Licensed Practical Nurse | 2011-07-01 ~ 2012-06-30 |
| Sarah A Atha | 94 Wisteria Drive, Hiram, GA 30141 | Registered Nurse | 2009-05-28 ~ 2010-07-31 |
| David J Craven | 160 Pooles Bend Ct, Hiram, GA 30141 | Electrical Unlimited Journeyperson | 1996-10-01 ~ 1997-09-30 |
| Bryan J Moore | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-09-23 ~ 2020-07-31 |
| Tamira Outlaw | 373 Greystone Pkwy, Hiram, GA 30141-3162 | Registered Nurse | 2014-06-02 ~ 2015-06-30 |
| Susanne N Miller | 110 Trailside Way, Hiram, GA 30141-3271 | Registered Nurse - Temporary | 2014-04-17 ~ 2014-08-14 |
| Find all Licenses in zip 30141 | |||
| City | Hiram |
| Zip Code | 30141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hiram |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Preet Kamal Kaur | 15239 Riviera Ln, La Mirada, CA 90638 | Physical Therapist | ~ |
| Preet Gulati | 8 Wyngate Drive, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Preet Kaur Endapally | 2626 Orleans Way, Missouri City, TX 77459-7316 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Aman Preet Singh | 121-03, 101 Avenue, South Richmond Hill, NY 11419 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).