PRAKASH REDDY
Physician/surgeon


Address: 900 Morris Ave Apt 1, Larned, KS 67550-2425

PRAKASH REDDY (Credential# 1315533) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 9, 1989. The license expiration date date is November 30, 1990. The license status is INACTIVE.

Business Overview

PRAKASH REDDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029725. The credential type is physician/surgeon. The effective date is February 9, 1989. The expiration date is November 30, 1990. The business address is 900 Morris Ave Apt 1, Larned, KS 67550-2425. The current status is inactive.

Basic Information

Licensee Name PRAKASH REDDY
Credential ID 1315533
Credential Number 1.029725
Credential Type Physician/Surgeon
Business Address 900 Morris Ave Apt 1
Larned
KS 67550-2425
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-02-09
Effective Date 1989-02-09
Expiration Date 1990-11-30
Refresh Date 2015-10-08

Office Location

Street Address 900 MORRIS AVE APT 1
City LARNED
State KS
Zip Code 67550-2425

Competitor

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City LARNED
Zip Code 67550
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LARNED

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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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