PRAVIN RAVI DATE
Controlled Substance Registration for Practitioner


Address: 60 W 66th St Apt 12c, New York, NY 10023-6216

PRAVIN RAVI DATE (Credential# 1370391) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2019. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

PRAVIN RAVI DATE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063710. The credential type is controlled substance registration for practitioner. The effective date is January 18, 2019. The expiration date is February 28, 2019. The business address is 60 W 66th St Apt 12c, New York, NY 10023-6216. The current status is inactive.

Basic Information

Licensee Name PRAVIN RAVI DATE
Credential ID 1370391
Credential Number CSP.0063710
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 W 66th St Apt 12c
New York
NY 10023-6216
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2016-08-06
Effective Date 2019-01-18
Expiration Date 2019-02-28
Refresh Date 2019-01-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1362272 1.055601 Physician/Surgeon 2016-08-05 2016-12-01 - 2017-11-30 INACTIVE

Office Location

Street Address 60 W 66TH ST APT 12C
City NEW YORK
State NY
Zip Code 10023-6216

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Competitor

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City NEW YORK
Zip Code 10023
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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