ROBIN PRASAD MD (Credential# 402416) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
ROBIN PRASAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037342. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 250 Northwest Blvd #202, Coeur D Alene, ID 83814. The current status is inactive.
Licensee Name | ROBIN PRASAD MD |
Credential ID | 402416 |
Credential Number | CSP.0037342 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
250 Northwest Blvd #202 Coeur D Alene ID 83814 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2005-04-21 |
Effective Date | 2008-03-01 |
Expiration Date | 2009-02-28 |
Refresh Date | 2011-01-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
559700 | 1.042118 | Physician/Surgeon | 2004-01-29 | 2007-11-13 - 2008-12-31 | INACTIVE |
Street Address | 250 NORTHWEST BLVD #202 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
David G Drake | C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jamlik O Johnson | C/o Nighthawk Radiology Services, Coeur D' Alene, ID 83814 | Physician/surgeon | 2008-01-14 ~ 2009-02-28 |
Find all Licenses in zip 83814 |
City | COEUR D ALENE |
Zip Code | 83814 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COEUR D ALENE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Prasad S Sureddi | 10 Main St S, Southbury, CT 06488-2260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jai Prasad | 32 Strawberry Hill Ct Ste 3, Stamford, CT 06902-2594 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Meeta Prasad | 2508 Whitney Ave Apt K, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2006-03-20 ~ 2007-02-28 |
Avinash Prasad Md | Neurology Specialists, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Prasad Srinivasan | Allergy Assocs of Hartford PC, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jaya Prasad Shanmugam | 5801 Walnut Creek Rd Apt B112, River Ridge, LA 70123-5665 | Controlled Substance Registration for Practitioner | 2019-08-06 ~ 2021-02-28 |
Usha Prasad | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
Robin L Fisher | 8 Woods Rd, Sherman, CT 06784-1941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sujata A Kale | 411 Robin Ct, Cheshire, CT 06410-2427 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard A Robin Do | 28 Wells St, Westerly, RI 02891-2929 | Controlled Substance Registration for Practitioner | 2015-05-05 ~ 2017-02-28 |
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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).