PREETI MANAVALAN (Credential# 1145336) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
PREETI MANAVALAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051749. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 2530 Erwin Road, Durham, NC 27705. The current status is inactive.
| Licensee Name | PREETI MANAVALAN |
| Credential ID | 1145336 |
| Credential Number | 1.051749 |
| Credential Type | Physician/Surgeon |
| Business Address |
2530 Erwin Road Durham NC 27705 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-04-01 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 942674 | CSP.0047915 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-13 | 2017-03-01 - 2019-02-28 | INACTIVE |
| Street Address | 2530 Erwin Road |
| City | Durham |
| State | NC |
| Zip Code | 27705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marigny Manson Bratcher | 1509 Rowemont Dr, Durham, NC 27705 | Registered Nurse | 2020-06-01 ~ 2021-06-30 |
| Mayrillane Jackie Bahi | 114 Morcroft Ln, Durham, NC 27705 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Mark David Friedland | 2610 Erwin Rd Unit 318, Durham, NC 27705 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary L Alexander | 814 Sedgefield Street, Durham, NC 27705 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Scott J Kowalczyk | 101 Tannenbaum St., Durham, NC 27705 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Emily Tangwar | 504 White Pine Drive, Durham, NC 27705 | Registered Nurse | 2015-05-29 ~ 2015-12-31 |
| Lynn M Cardile | 10 Bogie Court, Durham, NC 27705 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Betty M Greene | 1014 Oakland Ave, Durham, NC 27705 | Hairdresser/cosmetician | 2012-11-01 ~ 2014-10-31 |
| Brooke G Robinson | 2313 Wilson St, Durham, CT 27705 | Speech and Language Pathologist | 2010-08-01 ~ 2011-07-31 |
| Ann C Moylan | 7 Pilton Place, Durham, NC 27705 | Registered Nurse | 2010-01-01 ~ 2010-12-31 |
| Find all Licenses in zip 27705 | |||
| City | Durham |
| Zip Code | 27705 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Durham |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Preeti Viswanathan | 50 Forest Street, Stamford, CT 06901 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Preeti Preeti | 21494 Kishanpur Ramghat Rd, Aligarh Up, I2 20200 | Physical Therapist | 2018-06-01 ~ 2019-05-31 |
| Preeti Rani Pa | 53 Seaside Avenue Unit 6, Stamford, CT 06902 | Physician Assistant | 2014-05-01 ~ 2015-04-30 |
| Preeti Jhorar | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-07-01 ~ 2019-06-30 |
| Preeti Sandhu | 207 W Newton St, Boston, MA 02116 | Psychologist | ~ |
| Preeti Bhardwaj | Box 2730, Drumheller, Ab, T0J 0Y | Dentist | 2020-03-01 ~ 2021-02-28 |
| Preeti N Patel | 25 Quarry Ridge Rd, Monroe, CT 06468-3321 | Radiographer | 2015-05-01 ~ 2016-04-30 |
| Preeti Mahajan | 8757 S Shore Pl, Mason, OH 45040-5044 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
| Preeti Soni | 133 Huckleberry Mill Rd, Avon, CT 06001-2023 | Dietitian/nutritionist | 2018-07-01 ~ 2019-06-30 |
| Preeti Gaur | 16 Fowler St, Stamford, CT 06905 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
Please comment or provide details below to improve the information on PREETI MANAVALAN.
| 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).