CHAITANYA P PURANIK (Credential# 1301835) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
CHAITANYA P PURANIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061118. The credential type is controlled substance registration for practitioner. The effective date is March 14, 2018. The expiration date is February 28, 2019. The business address is University of Connecticut Health Center, Farmington, CT 06030. The current status is inactive.
| Licensee Name | CHAITANYA P PURANIK |
| Credential ID | 1301835 |
| Credential Number | CSP.0061118 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
University of Connecticut Health Center Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2015-07-27 |
| Effective Date | 2018-03-14 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2018-12-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488183 | 2.012060-RES | Resident Dentist | 2015-07-01 | 2015-07-01 - 2018-06-30 | INACTIVE |
| Street Address | University of Connecticut Health Center |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernesto Canalis Md | University of Connecticut Health Center, Farmington, CT 06030-0001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kristina F Zdanys | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theresa Barnett Aprn | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chantal Barbara Bartels | University of Connecticut Health Center, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marja M Hurley | University of Connecticut Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Vincent J Williams | University of Connecticut Health Center, Farmington, CT 06030-4037 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| William Stanley Shaw | University of Connecticut Health Center, Farmington, CT 06030-0001 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Ahmet O Keles | University of Connecticut Health Center, Farmington, CT 06030 | Dentist | 2003-04-21 ~ 2004-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prakash N Puranik | 12323 Tranquility Park Ter, Bradenton, FL 34211-4956 | Controlled Substance Registration for Practitioner | 2019-07-01 ~ 2021-02-28 |
| Ujwala P Puranik | 12323 Tranquility Park Ter, Bradenton, FL 34211-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitanya C Reddy | 56 Franklin St, Waterbury, CT 06706-1281 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deepthi Chaitanya Kagolanu | 57 Herkimer St, Brooklyn, NY 11216-2780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitanya S. Chandravanka Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chaitanya Images | 1a 115/3 (old) West of Chord Rd, Bangalore, 560044 | Manufacturer of Bedding & Upholstered Furniture | 2015-04-21 ~ 2016-04-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).