SHAMA PRAVEEN MD (Credential# 446903) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SHAMA PRAVEEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040234. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 155 Windermere Ave Unit 1505, Ellington, CT 06029-5824. The current status is inactive.
| Licensee Name | SHAMA PRAVEEN MD |
| Credential ID | 446903 |
| Credential Number | CSP.0040234 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
155 Windermere Ave Unit 1505 Ellington CT 06029-5824 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-11-27 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564619 | 1.047037 | Physician/Surgeon | 2008-09-30 | 2008-09-30 - 2009-05-31 | INACTIVE |
| Street Address | 155 WINDERMERE AVE UNIT 1505 |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-5824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rikel J Lightner-anderson | 155 Windermere Ave Unit 1506, Ellington, CT 06029-5824 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Felicia M Brown Pa | 155 Windermere Ave Unit 1506, Ellington, CT 06029-5824 | Controlled Substance Registration for Practitioner | 2013-04-22 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Praveen Mannam | 53 Santa Fe Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Praveen Joseph | 30 Visgrove Ln, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vijayakumar Praveen Md | 155 Windermere Ave, Apt:1505, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Praveen Jetty Md | 10224 Townwalk Drive, Hamden, CT 06518-2720 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Shama International Pvt Ltd | C-119, Okhla Ind Area Phase 1, New Delhi, 110020 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
| 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 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SHAMA PRAVEEN MD.
| 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).