ARAVIND R KOKKIRALA (Credential# 561565) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2014. The license expiration date date is December 31, 2014. The license status is INACTIVE.
ARAVIND R KOKKIRALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043983. The credential type is physician/surgeon. The effective date is January 1, 2014. The expiration date is December 31, 2014. The business address is 205 Cole Avenue, Providence, RI 02906. The current status is inactive.
| Licensee Name | ARAVIND R KOKKIRALA |
| Credential ID | 561565 |
| Credential Number | 1.043983 |
| Credential Type | Physician/Surgeon |
| Business Address |
205 Cole Avenue Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-12-14 |
| Effective Date | 2014-01-01 |
| Expiration Date | 2014-12-31 |
| Refresh Date | 2015-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 426051 | CSP.0038707 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-01-10 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 205 COLE AVENUE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Friends of Aravind · Aravind Eye Foundation | 447 E 57th St Apt 7a, New York, NY 10022-3172 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Aravind K Kumar | 7 Hegeman Avenue, Brooklyn, NY 11212 | Physician/surgeon | 2003-03-21 ~ 2003-09-30 |
| Aravind Kondabolu | 4180 Park Ave,apt 13, Bridgeport, CT 06604 | Pharmacy Technician | 2016-03-02 ~ 2017-03-31 |
| Aravind B Menon Dmd | 101 Stonewall Rd, Salem, CT 06420-4135 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on ARAVIND R KOKKIRALA.
| 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).