CHAKRAPANI THIRUVILWAMALA PRAKASH
Physician/surgeon


Address: 153 Bull Hill Ln Apt 114, West Haven, CT 06516-3931

CHAKRAPANI THIRUVILWAMALA PRAKASH (Credential# 1216491) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 1986. The license expiration date date is August 31, 1989. The license status is INACTIVE.

Business Overview

CHAKRAPANI THIRUVILWAMALA PRAKASH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027163. The credential type is physician/surgeon. The effective date is April 9, 1986. The expiration date is August 31, 1989. The business address is 153 Bull Hill Ln Apt 114, West Haven, CT 06516-3931. The current status is inactive.

Basic Information

Licensee Name CHAKRAPANI THIRUVILWAMALA PRAKASH
Credential ID 1216491
Credential Number 1.027163
Credential Type Physician/Surgeon
Business Address 153 Bull Hill Ln Apt 114
West Haven
CT 06516-3931
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-04-09
Effective Date 1986-04-09
Expiration Date 1989-08-31
Refresh Date 2014-04-11

Office Location

Street Address 153 BULL HILL LN APT 114
City WEST HAVEN
State CT
Zip Code 06516-3931

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City WEST HAVEN
Zip Code 06516
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HAVEN

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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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