CHANNA PERERA MD (Credential# 553774) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CHANNA PERERA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036182. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 755 Campbell Ave Suite 1, West Haven, CT 06516. The current status is active.
| Licensee Name | CHANNA PERERA MD |
| Credential ID | 553774 |
| Credential Number | 1.036182 |
| Credential Type | Physician/Surgeon |
| Business Address |
755 Campbell Ave Suite 1 West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 925909 | CSP.0047565 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-05-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 439193 | CSP.0039202 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 497081 | CSP.0043217 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 186355 | CSP.0026070 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1326721 | CSP.0061900 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-12-30 | 2017-03-01 - 2019-02-28 | INACTIVE |
| 1125161 | CSP.0053788 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-10-01 | 2013-09-09 - 2015-02-28 | INACTIVE |
| 431631 | CSP.0038906 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-14 | 2006-03-14 - 2007-02-28 | INACTIVE |
| 223960 | CSP.0029030 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE | |
| 1152566 | CSP.0054334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 755 CAMPBELL AVE SUITE 1 |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prabjot Channa | P.o. Box 177, Scarsdale, NY 10583 | Physician/surgeon | 2009-03-25 ~ 2010-03-31 |
| Tarique Perera Md | 84 Hospital Avenue, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Channa Lun May | 124 Daley Street, Bristol, CT 06010 | Nail Technician | ~ |
| Channa Pich | 60 Park St, New Haven, CT 06513-1603 | Pharmacy Technician | 2012-04-01 ~ 2013-03-31 |
| Shannu Channa | 5 Garland Dr, Glastonbury, CT 06033-1251 | Emergency Medical Technician | 2019-09-13 ~ 2022-06-30 |
| Channa Schnitzler | 104 Blueridge Drive Ext, Waterbury, CT 06704-6122 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Channa D Rochester | 1108 Wayne Dr, Snellville, GA 30078-2024 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Ganga Kumari Channa | 5 Garland Dr, Glastonbury, CT 06033-1251 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Malanie T Perera | 37 Lindencrest Dr, Danbury, CT 06811 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Stephanie Perera | 3207 Mapleridge Dr, Lutz, FL 33558-5022 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
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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).