BALASUBRAMANIAN BHAGAVATH (Credential# 502586) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
BALASUBRAMANIAN BHAGAVATH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043506. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 101 Dudley Street, Providence, RI 02905. The current status is inactive.
| Licensee Name | BALASUBRAMANIAN BHAGAVATH |
| Credential ID | 502586 |
| Credential Number | CSP.0043506 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 Dudley Street Providence RI 02905 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-05-12 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563733 | 1.046151 | Physician/Surgeon | 2008-01-24 | 2012-01-01 - 2012-12-31 | INACTIVE |
| Street Address | 101 DUDLEY STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah L Myers | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Wendy B Young | 101 Dudley Street, Providence, RI 02905 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Rebecca H Allen | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2020-02-26 ~ 2021-02-28 |
| James F Padbury | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Margaret M Steinhoff | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Trevor Tejada-berges | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Walter H Gajewski | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2003-12-18 ~ 2004-12-31 |
| David Frankfurter Md | 101 Dudley Street, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha L Werenfels | 66 Fort Avenue, Cranston, RI 02905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter M Scotti | 18 Hudson Place, Cranston, RI 02905 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Paul H Dyer | 19 Henry St, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tammie W Sutton | 43 Colfax St., Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Mark A Caruso | 9 Rhodes Avenue, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stephen Paul Tippe | 1972 Broad Street, Cranston, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Michael T Parker | 139 Babcock Street, Providence, RI 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jacquelyn Nicole Fellows | 198 Armington St Apt 8, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| David Duarte | 48 Harbor View Terrace, Stonington, CT 02905 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Szu Ching Wu | 1185 Narragansett Blvd Apt 206, Cranston, RI 02905 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Find all Licenses in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Balasubramanian Shanmugam Md | 923 Farmington Ave, Bristol, CT 06010-3927 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harinarayan Balasubramanian | 7 Austin Circle, So Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| 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 |
| Anita Bhagavath | 15 Collingwood Dr, Huntington Station, NY 11746 | Physician/surgeon | 2018-09-19 ~ 2019-05-31 |
| 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 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BALASUBRAMANIAN BHAGAVATH.
| 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).