DARUKA MAHADEVAN (Credential# 554258) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
DARUKA MAHADEVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036667. The credential type is physician/surgeon. The effective date is February 25, 2002. The expiration date is February 28, 2003. The business address is 1777 W. Orange Grove Road, Tucson, AZ 85704. The current status is inactive.
| Licensee Name | DARUKA MAHADEVAN |
| Credential ID | 554258 |
| Credential Number | 1.036667 |
| Credential Type | Physician/Surgeon |
| Business Address |
1777 W. Orange Grove Road Tucson AZ 85704 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-03-06 |
| Effective Date | 2002-02-25 |
| Expiration Date | 2003-02-28 |
| Refresh Date | 2009-07-08 |
| Street Address | 1777 W. Orange Grove Road |
| City | Tucson |
| State | AZ |
| Zip Code | 85704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Perkins | 8460 N Wanda Rd, Tucson, AZ 85704 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Krunal Patel | 2800 E Ajo Way, Tucson, AZ 85704 | Physician/surgeon | ~ |
| Shelly T Lee Md | 6336 N Oracle 326-325, Tucson, AZ 85704 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deborah A Agriesto | 202 E Cambridge Drive, Tucson, AZ 85704 | Registered Nurse | 2012-01-01 ~ 2012-12-31 |
| Bonnie R Rabin · Merrick | 9546 N Placita Roca, Tucson, AZ 85704 | Dietitian/nutritionist | 2011-12-01 ~ 2012-11-30 |
| Kevin A. Marshall | 6327 N Caravan Lane, Tucson, AZ 85704 | Certified Public Accountant License | 2010-01-01 ~ 2010-12-31 |
| Leopold T Briere | 1230 W Emerine Dr, Tucson, AZ 85704 | Hairdresser/cosmetician | 2003-10-30 ~ 2004-12-31 |
| Emanuel C Wolff Md · Va Hospital | 9670 N Pusch Ridge Pl, Tucson, AZ 85704 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| James P Curtiss Jr | 1505 W Hudson Pl, Tucson, AZ 85704 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Robert J Veillette | 5910 N Piacita Chico, Tucson, AZ 85704 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 85704 | |||
| City | Tucson |
| Zip Code | 85704 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Tucson |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mahadevan Shetty | 74 N Racebrook Rd, Woodbridge, CT 06525-1405 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Patricia Daruka | P O Box 624, Hanapepe, HI 96716 | Registered Nurse | 2000-04-28 ~ 2001-05-31 |
| Mahadevan Shetty | C/o Nvra, 385 Main St. South, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2020-04-13 ~ 2021-02-28 |
| 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 |
Please comment or provide details below to improve the information on DARUKA MAHADEVAN.
| 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).