DIVYA VENKATARAMAN DMD
Controlled Substance Registration for Practitioner


Address: 7906 N Mac Arthur Blvd, Irving, TX 75063

DIVYA VENKATARAMAN DMD (Credential# 969469) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

DIVYA VENKATARAMAN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049099. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 7906 N Mac Arthur Blvd, Irving, TX 75063. The current status is inactive.

Basic Information

Licensee Name DIVYA VENKATARAMAN DMD
Credential ID 969469
Credential Number CSP.0049099
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7906 N Mac Arthur Blvd
Irving
TX 75063
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-10-06
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
949384 2.010356 Dentist 2010-09-01 2010-09-01 - 2011-09-30 INACTIVE

Office Location

Street Address 7906 N Mac arthur blvd
City Irving
State TX
Zip Code 75063

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Juan M Mendez 7750 N. Mac Arthur Blvd, Irving, TX 75063 Physician/surgeon 2019-12-01 ~ 2020-11-30
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Competitor

Search similar business entities

City Irving
Zip Code 75063
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Irving

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Divya Mangala Kestur Rajaserhar 7 Summer St, Derby, CT 06418-1313 Controlled Substance Registration for Practitioner 2009-12-23 ~ 2011-02-28
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Dataset Information

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).

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