CHICKAMAGALUR N RAVEESH (Credential# 552471) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 28, 2000. The license expiration date date is January 31, 2001. The license status is INACTIVE.
CHICKAMAGALUR N RAVEESH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034876. The credential type is physician/surgeon. The effective date is February 28, 2000. The expiration date is January 31, 2001. The business address is 7770 North Lakebluff, Gladstone, MI 49837-2439. The current status is inactive.
| Licensee Name | CHICKAMAGALUR N RAVEESH |
| Credential ID | 552471 |
| Credential Number | 1.034876 |
| Credential Type | Physician/Surgeon |
| Business Address |
7770 North Lakebluff Gladstone MI 49837-2439 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-09-22 |
| Effective Date | 2000-02-28 |
| Expiration Date | 2001-01-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162776 | CSP.0023753 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-10-17 - 1997-02-28 | INACTIVE |
| Street Address | 7770 NORTH LAKEBLUFF |
| City | GLADSTONE |
| State | MI |
| Zip Code | 49837-2439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debbie Lynn Kreszyn | 107 Nw 67th Ter, Gladstone, MO 64118-3246 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| United States Equestrian Team Foundation Inc. | 1040 Pottersville Rd, Gladstone, NJ 07934-2053 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Mary B Przasnyski · Bouchard | 361 Rock Fence Rd, Gladstone, VA 24553-3413 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Julie A Adams | 6695 Buckingham Dr, Gladstone, OR 97027-1045 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
| Sandra Jo Parker | 6960 N Park Ave Apt C, Gladstone, MO 64118 | Registered Nurse - Temporary | 2014-12-03 ~ 2015-04-01 |
| John P Slaughter | 467 W Gloucester St, Gladstone, OR 97027-2055 | Engineer-in-training | 1991-05-14 ~ 2001-05-14 |
| Alicia L Lord | 222 Dyestone Ridge Lane, Gladstone, VA 24553 | Hairdresser/cosmetician | 2008-04-07 ~ 2010-04-30 |
| Muzeyyen Ciyiltepe | 1205 Ne 73rd Street, Gladstone, MO 64118 | Speech and Language Pathologist | 1995-03-16 ~ 1996-05-31 |
| Mildred A Caro | 2348 Ne 70th Street, Gladstone, MO 64118 | Registered Nurse | ~ 1996-05-31 |
| Thomas A Clark | Rt 2 Box 19b, Gladstone, VA 24553 | Electrical Unlimited Contractor | 1997-10-01 ~ 1998-09-30 |
| Find all Licenses in GLADSTONE | |||
| City | GLADSTONE |
| Zip Code | 49837 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLADSTONE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).