RADHIKA PURUSHOTHAMAN MD (Credential# 532216) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
RADHIKA PURUSHOTHAMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045494. The credential type is controlled substance registration for practitioner. The effective date is March 7, 2011. The expiration date is February 28, 2013. The business address is 2 Church St S Ste 405, New Haven, CT 06519-1717. The current status is inactive.
| Licensee Name | RADHIKA PURUSHOTHAMAN MD |
| Credential ID | 532216 |
| Credential Number | CSP.0045494 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Church St S Ste 405 New Haven CT 06519-1717 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-05-11 |
| Effective Date | 2011-03-07 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565035 | 1.047453 | Physician/Surgeon | 2009-03-13 | 2010-10-01 - 2011-09-30 | INACTIVE |
| Street Address | 2 CHURCH ST S STE 405 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yale Stress Center, Yale University · Yale Stress Center | Stress Center, Yale University School of Med Yale, New Haven, CT 06519-1717 | Controlled Substance Laboratory | ~ |
| Fotios Koumpouras | 2 Church St S Ste 401, New Haven, CT 06519-1717 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Sherry A Mckee | 2 Church St S Ste 109, New Haven, CT 06519-1717 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Rajita Sinha | 2 Church St S Ste 209, New Haven, CT 06519-1717 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Caroline Anne Nelson | 2 Church St S, New Haven, CT 06519-1717 | Controlled Substance Registration for Practitioner | 2019-05-10 ~ 2021-02-28 |
| Lycurgus M Davey Md | Two Church Street South, New Haven, CT 06519-1717 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Valeria Martinez-kaigi | 2 Church St S Ste 209, New Haven, CT 06519-1717 | Psychologist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Archana Purushothaman | 12 Park Place, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Radhika Levaka | 37 Oak Street, Harrison, NY 10528 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Radhika Jasthi Md | 29 Hospital Plz Ste 490, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Radhika Rani Govindaswamy | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Radhika A Agrawal | 34 Patriot Trail, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Radhika Adiraju Md | 100 Grand Street, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Radhika Thappeta | 1897 Gaineswood Dr, Tuscaloosa, AL 35406-3554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Radhika Chaudhary | 203 Cedar Hill Dr, Canonsburg, PA 15317-2526 | Controlled Substance Registration for Practitioner | 2019-08-02 ~ 2021-02-28 |
| Radhika Naga Ayyagari | 44 Dale Rd, Avon, CT 06001-4315 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
| Radhika M K Shah | 400 Blake Street, Apt. 4306, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).