PRABHAVATHI RAO (Credential# 1145941) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.
PRABHAVATHI RAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051750. The credential type is physician/surgeon. The effective date is April 1, 2013. The expiration date is April 30, 2014. The business address is 343 10th A Main, Jayanager, Karnataka, 56001. The current status is inactive.
| Licensee Name | PRABHAVATHI RAO |
| Credential ID | 1145941 |
| Credential Number | 1.051750 |
| Credential Type | Physician/Surgeon |
| Business Address |
343 10th A Main Jayanager, Karnataka 56001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-04-01 |
| Effective Date | 2013-04-01 |
| Expiration Date | 2014-04-30 |
| Refresh Date | 2014-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1038959 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
| Street Address | 343 10TH A MAIN |
| City | JAYANAGER, KARNATAKA |
| Zip Code | 56001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Braun | 111 Center St, Mankato, MN 56001 | Registered Nurse | 2002-08-01 ~ 2003-08-31 |
| Chs Inc | 2020 S Riverfront Dr, Mankato, MN 56001-1613 | Commercial Feed | 2017-01-17 ~ 2017-12-31 |
| Hubbard Feeds Inc | 111 W Cherry St Ste 500, Mankato, MN 56001-3447 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Lindsay M Henkels | 109 Hidden Oaks Cir, Mankato, MN 56001-5274 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Industree Producer Transform Pvt. Ltd. | 36/5 Somasundara Palya Hsr Layout Sector 2, Bangalore, 5600102 | Manufacturer of Bedding & Upholstered Furniture | 2013-05-01 ~ 2014-04-30 |
| City | JAYANAGER, KARNATAKA |
| Zip Code | 56001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + JAYANAGER, KARNATAKA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| 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 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on PRABHAVATHI RAO.
| 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).