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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1362272 | 1.055601 | Physician/Surgeon | 2016-08-05 | 2016-12-01 - 2017-11-30 | INACTIVE |
Street Address | 60 W 66TH ST APT 12C |
City | NEW YORK |
State | NY |
Zip Code | 10023-6216 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leonard R Woods | 290 West End Ave 15b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
Susan T Rodriguez | 320 West End Ave Apt #15-a, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
Barbara S Goldberg · Straite | 175 W 76th St, New York, NY 10023 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kenneth H Drucker | 235 West 76th St#9-d, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
Jeffrey H Berman | 240 West 75th St #5-b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
James Mccullar | 268 West 73rd St Apt 2b, New York, NY 10023 | Architect | 2018-08-01 ~ 2019-07-31 |
Juan C Estupinan Beltran Md | 20 West 64th Street, New York, NY 10023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Lauren A Gabriele | 145 W 67th St, New York, NY 10023 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joanna Guarino | 201 West 72nd Street, #10e, New York, NY 10023 | Speech and Language Pathologist | 2020-02-01 ~ 2021-01-31 |
Nancy Peterson | 240 West End Avenue, New York, NY 10023 | Psychologist | ~ |
Find all Licenses in zip 10023 |
City | NEW YORK |
Zip Code | 10023 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pravin V Patil Md | 58 Wellington Dr, Farmington, CT 06032-3215 | Controlled Substance Registration for Practitioner | 2011-03-08 ~ 2013-02-28 |
Ravi Shah | 171 Lake Ave, Colonia, NJ 07067-1354 | Controlled Substance Registration for Practitioner | 2020-04-15 ~ 2021-02-28 |
Ravi K. Mangal | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ravi K Athwani | 301 E Main St, Bay Shore, NY 11706-8408 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
Ravi Ramachandran | 123 York St Apt 7e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-31 ~ 2013-02-28 |
Ravi M Kagali | 2 Washburn Ter Apt 2b, Saugerties, NY 12477 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Ravi K Thakur Md | Po Box 1092, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Ravi P Kaza | 81 Woodbridge Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sandeep Ravi | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ravi Parikh | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).