AVANIKKHA S ELAYAPPEN (Credential# 1243258) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 17, 2014. The license expiration date date is November 30, 2014. The license status is INACTIVE.
AVANIKKHA S ELAYAPPEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053527. The credential type is physician/surgeon. The effective date is September 17, 2014. The expiration date is November 30, 2014. The business address is 3565 W 22nd St, Yuma, AZ 85364-7626. The current status is inactive.
| Licensee Name | AVANIKKHA S ELAYAPPEN |
| Credential ID | 1243258 |
| Credential Number | 1.053527 |
| Credential Type | Physician/Surgeon |
| Business Address |
3565 W 22nd St Yuma AZ 85364-7626 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-09-17 |
| Effective Date | 2014-09-17 |
| Expiration Date | 2014-11-30 |
| Refresh Date | 2015-03-05 |
| Street Address | 3565 W 22ND ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7626 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristina Jo Garibay | 2716 W Oakwood Ln, Yuma, AZ 85364 | Registered Nurse | 2020-03-10 ~ 2020-10-31 |
| Ushasree Panuganti | 1334 South Ave 13 Apt 129, Yuma, AZ 85364 | Pharmacy Intern | 2011-04-11 ~ 2013-09-30 |
| Sirraam M Williams | 2532 S. Elmwood Dr., Yuma, AZ 85364 | Licensed Practical Nurse | 2011-08-01 ~ 2012-07-31 |
| Ruben Coriano | 1350 West 19th Street, Yuma, AZ 85364 | Physician/surgeon | 2008-11-20 ~ 2010-01-31 |
| Pamela Gouge | 1111 Ave B Sp 56, Yuma, AZ 85364 | Hairdresser/cosmetician | 1995-08-21 ~ 1996-10-31 |
| Sergio Penaherrera | 3676 W 14th Place, Yuma, AZ 85364 | Physician/surgeon | 1994-11-25 ~ 1995-08-31 |
| Lonna J Brazeel | 1368 W. 18th Place, Yuma, AZ 85364 | Registered Nurse | 2007-02-26 ~ 2008-02-29 |
| Spectra Star | 350 E 18th Street, Yuma, AZ 85364 | Manufacturer of Bedding & Upholstered Furniture | 1995-10-01 ~ 1996-04-30 |
| Martin Konopko | 3573 W 16th Pl, Yuma, AZ 85364-3470 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Janine Konopko | 3573 W 16th Pl, Yuma, AZ 85364-3470 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 85364 | |||
| City | YUMA |
| Zip Code | 85364 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + YUMA |
| 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 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on AVANIKKHA S ELAYAPPEN.
| 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).