PRAVEEN KUMAR BODDU (Credential# 2001673) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2020. The license expiration date date is November 30, 2020. The license status is ACTIVE.
PRAVEEN KUMAR BODDU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012568. The credential type is physical therapist. The effective date is January 30, 2020. The expiration date is November 30, 2020. The business address is 177 Roosevelt Ave, Jersey City, NJ 07304-1340. The current status is active.
| Licensee Name | PRAVEEN KUMAR BODDU |
| Credential ID | 2001673 |
| Credential Number | 14.012568 |
| Credential Type | Physical Therapist |
| Business Address |
177 Roosevelt Ave Jersey City NJ 07304-1340 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-30 |
| Effective Date | 2020-01-30 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2020-01-30 |
| Street Address | 177 ROOSEVELT AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-1340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myra Orlyn Pacione | 70 Lexington Avenue Apt 14, Jersey City, NJ 07304 | Registered Nurse | ~ |
| William L Scott | 68 Clendenny Avenue, Jersey City, NJ 07304 | Tax Preparer/facilitator Permit | 2020-03-13 ~ 2022-03-31 |
| Martin Wolinsky | 535 B Martin Luther King Jr Dr, Jersey City, NJ 07304 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Senator Kwamme Hazelwood | 404 Bergen Ave, Jersey City, NJ 07304 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Khurshid Bhatti | 255 Harrison Ave, Jersey City, NJ 07304 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Harold Lewis | 712 Bergen Ave, Jersey City, NJ 07304 | Elevator Limited Conveyor Journeyperson | ~ |
| Luis Garcia · Sherlock Security Systems Inc | 296 Union Street, Jersey City, NJ 07304 | Electrical Limited Contractor | ~ |
| Carlos R Perez | 89 1/2 Maple Street, Jersey City, NJ 07304 | Asbestos Abatement Worker | 2011-09-01 ~ 2013-08-31 |
| Myrha M Lanez | 305 Ege Ave., Jersey City, NJ 07304 | Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Samuel A Djanie | 150 Clendenny Ave, Jersey City, NJ 07304 | Registered Nurse | 2009-09-16 ~ 2010-10-31 |
| Find all Licenses in zip 07304 | |||
| City | JERSEY CITY |
| Zip Code | 07304 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + JERSEY CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Praveen Kumar Bala | 95 Wakelee Ave, Ansonia, CT 06401-1151 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Praveen Kumar Kodakandla | 12554 Sw 126th Ave, Miami, FL 33186-9037 | Pharmacist | ~ |
| Praveen Kumar Gonuguntla Kamma | 2300 Wolf Ranch Pkwy Apt 3213, Georgetown, TX 78628-7289 | Dentist | 2020-06-01 ~ 2021-06-30 |
| Praveen Kumar Bala · Westville Wines and Spirits | 864 Whalley Ave, New Haven, CT 06515-1759 | Package Store Liquor | ~ |
| Supriya Sathish Kumar | CT | Physical Therapist | ~ |
| Kiran Kumar | 26 Diamondcrest Ln, Stamford, CT 06903-4934 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Hardeep Kumar | 3955 65th St, Woodside, NY 11377-3637 | Physical Therapist | 2017-02-01 ~ 2018-01-31 |
| Shreyas Kumar Vijaya Kumar | 13 Nelkin Dr Apt 125, Wallington, NJ 07057-2703 | Engineer-in-training | ~ |
| Vasundhara Boddu | 38 Rambling Brook Ln Apt A3, Glastonbury, CT 06033-1623 | Pharmacy Technician | 2014-04-01 ~ 2015-03-31 |
| Prajwal Chaitanya Boddu | 8282 Cambridge St Apt 114, Houston, TX 77054-3120 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on PRAVEEN KUMAR BODDU.
| 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).