RAVI SHAH (Credential# 2035514) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RAVI SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073658. The credential type is controlled substance registration for practitioner. The effective date is April 15, 2020. The expiration date is February 28, 2021. The business address is 171 Lake Ave, Colonia, NJ 07067-1354. The current status is active.
| Licensee Name | RAVI SHAH |
| Credential ID | 2035514 |
| Credential Number | CSP.0073658 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
171 Lake Ave Colonia NJ 07067-1354 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-15 |
| Effective Date | 2020-04-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2004755 | 2.012705 | Dentist | 2020-03-16 | 2020-03-16 - 2020-09-30 | ACTIVE |
| Street Address | 171 LAKE AVE |
| City | COLONIA |
| State | NJ |
| Zip Code | 07067-1354 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angela Farese | 118 Hawthorne Ave, Colonia, NJ 07067 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Bharat D. Balsara | 19 West Cliff Road, Colonia, NJ 07067 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Barbara W Costenbader | 8 Neptune Place, Colonia, NJ 07067 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Azeez Aishat | 1279 Saint Georges Ave Apt 3b, Colonia, NJ 07067 | Registered Nurse - Temporary | 2016-03-10 ~ 2016-07-07 |
| Austin Co (the) | 31 Clove Dr, Colonia, NJ 07067 | Professional Engineer | 1992-01-07 ~ 1993-01-31 |
| Adolf Hermann | 84 Amherst Ave, Colonia, NJ 07067 | Professional Engineer | 1998-01-20 ~ 1999-01-31 |
| Benny J Moy | 174 Colonia Blvd, Colonia, NJ 07067 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Saif Salahuddin | 97 South Cliff Road, Colonia, NJ 07067 | Engineer-in-training | 2002-09-10 ~ 2012-09-10 |
| Jay M Cohen | 90 Longfellow Dr., Colonia, NJ 07067 | Chiropractor | 2009-03-20 ~ 2010-01-31 |
| Jaroslaw Stankiewicz | 1 Ronald Drive, Apt. 25, Colonia, NJ 07067 | Asbestos Abatement Worker | 2002-05-31 ~ 2003-07-31 |
| Find all Licenses in zip 07067 | |||
| City | COLONIA |
| Zip Code | 07067 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLONIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ravi K. Mangal | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ravi P Kaza | 81 Woodbridge Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 Athwani | 301 E Main St, Bay Shore, NY 11706-8408 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 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 K Thakur Md | Po Box 1092, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ravi M Kagali | 2 Washburn Ter Apt 2b, Saugerties, NY 12477 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ravi Ramachandran | 123 York St Apt 7e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-31 ~ 2013-02-28 |
| Ravi S Marfatia Md | 67 Robin Rd Apt B6, West Hartford, CT 06119-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ravi K Singh Pa-c | 455 Lewis Ave Suite 210, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on RAVI SHAH.
| 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).