KRISHNAKA S RAIKER (Credential# 549250) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 20, 1994. The license expiration date date is October 31, 1995. The license status is INACTIVE.
KRISHNAKA S RAIKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031515. The credential type is physician/surgeon. The effective date is October 20, 1994. The expiration date is October 31, 1995. The business address is 1712 Dylane Dr #2g, Griffith, IN 46319. The current status is inactive.
| Licensee Name | KRISHNAKA S RAIKER |
| Credential ID | 549250 |
| Credential Number | 1.031515 |
| Credential Type | Physician/Surgeon |
| Business Address |
1712 Dylane Dr #2g Griffith IN 46319 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-04-26 |
| Effective Date | 1994-10-20 |
| Expiration Date | 1995-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1712 DYLANE DR #2G |
| City | GRIFFITH |
| State | IN |
| Zip Code | 46319 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Louise Hetzel | 723 N Lafayette St, Griffith, IN 46319 | Registered Nurse - Temporary | 2016-10-05 ~ 2017-02-01 |
| Karen J Mills · Handy | 227 N Rensselaer St, Griffith, IN 46319 | Registered Nurse | 2011-07-01 ~ 2012-06-30 |
| City | GRIFFITH |
| Zip Code | 46319 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GRIFFITH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krishnakant S Raiker Md | Bldg #2 Apt 2-m, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 1993-03-05 ~ 1995-04-01 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on KRISHNAKA S RAIKER.
| 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).