RANGA R POLAVARAPU
Physician/surgeon


Address: 907 Riverbend Drive, Milledgeville, GA 31061

RANGA R POLAVARAPU (Credential# 552323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2000. The license expiration date date is July 31, 2000. The license status is INACTIVE.

Business Overview

RANGA R POLAVARAPU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034727. The credential type is physician/surgeon. The effective date is March 7, 2000. The expiration date is July 31, 2000. The business address is 907 Riverbend Drive, Milledgeville, GA 31061. The current status is inactive.

Basic Information

Licensee Name RANGA R POLAVARAPU
Credential ID 552323
Credential Number 1.034727
Credential Type Physician/Surgeon
Business Address 907 Riverbend Drive
Milledgeville
GA 31061
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-07-21
Effective Date 2000-03-07
Expiration Date 2000-07-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
161822 CSP.0023510 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 907 Riverbend Drive
City Milledgeville
State GA
Zip Code 31061

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cissie L Horton Aprn 3090 Heritage Rd, Milledgeville, GA 31061 Registered Nurse 2005-03-02 ~ 2006-04-30
Brigitte A Kelley 144 S Leisure Ln Se, Milledgeville, GA 31061-8832 Registered Nurse 2016-04-01 ~ 2017-03-31

Competitor

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City Milledgeville
Zip Code 31061
License Type Physician/Surgeon
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Dataset Information

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).

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