PRAKASH BANDARI MD (Credential# 553745) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 16, 1997. The license expiration date date is February 28, 1999. The license status is INACTIVE.
PRAKASH BANDARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036153. The credential type is physician/surgeon. The effective date is December 16, 1997. The expiration date is February 28, 1999. The business address is 75-69 113th St, Forest Hills, NY 11375. The current status is inactive.
| Licensee Name | PRAKASH BANDARI MD |
| Credential ID | 553745 |
| Credential Number | 1.036153 |
| Credential Type | Physician/Surgeon |
| Business Address |
75-69 113th St Forest Hills NY 11375 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-07-03 |
| Effective Date | 1997-12-16 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 185847 | CSP.0025873 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-07-28 - 1998-02-28 | INACTIVE |
| Street Address | 75-69 113TH ST |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berta Shchegol | 110-24 67th Drive, Forest Hills, NY 11375 | Dentist | ~ |
| Lawrence M Rosenbloom | 110-11 Queens Blvd., Forest Hills, NY 11375 | Architect | 2020-08-01 ~ 2021-07-31 |
| Beatrice E Hunt | 43 Exeter St, Forest Hills, NY 11375 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elena Chachik | 108-25 72 Ave 3b, Forest Hills, NY 11375 | Dentist | 2020-06-10 ~ 2021-03-31 |
| Lina F Spartos | 99-15 Ascan Ave., Forest Hills, NY 11375 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Isabella Mihaelson | 100-10 67th Rd #4-g, Forest Hills, NY 11375 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Co B Quang | 102-30 66th Road #3a, Forest Hills, NY 11375 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Benjamin V Katayev · Vladislav | 110-35 67 Drive, Forest Hills, NY 11375 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Yulian Aminov | 112-11 69th Avenue, Forest Hill, NY 11375 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Laura Marilyn Soriano | 7714 113th St, Forest Hills, NY 11375 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 11375 | |||
| City | FOREST HILLS |
| Zip Code | 11375 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FOREST HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaya Prakash Prakash Sugunaraj | 75 Abbey Road, Danville, PA 17821 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Malavika Bandari | 9 Cranbrook Blvd #102, Enfield, CT 06082 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Usha M Bandari Md | 75-69 113th Street, Forest Hills, NY 11375 | Physician/surgeon | 1997-09-11 ~ 1998-11-30 |
| Malavika Bandari | 705 Forrest Pointe Drive, East Greenbush, NY 12061 | Physician/surgeon | ~ |
| Satya Prakash R Atmakuri Md | 21 Elm St, New Milford, CT 06776 | Physician/surgeon | 2007-10-19 ~ 2008-10-31 |
| Prakash B Chougule | 110 Juniper Dr, East Greenwich, RI 02818-1370 | Physician/surgeon | ~ |
| Prakash Reddy | 900 Morris Ave Apt 1, Larned, KS 67550-2425 | Physician/surgeon | 1989-02-09 ~ 1990-11-30 |
| Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shashi Prakash | 2215 Chelmsford La, St Cloud, MN 56301 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Seema Prakash Bakhru | 25 Stonewall Ln, Ridgefield, CT 06877-1124 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).