PRADEEP K SIDDAPPA (Credential# 1425215) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PRADEEP K SIDDAPPA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065521. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 620 2nd St Sw 311, Rochester, MN 55902. The current status is active.
| Licensee Name | PRADEEP K SIDDAPPA |
| Credential ID | 1425215 |
| Credential Number | CSP.0065521 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
620 2nd St Sw 311 Rochester MN 55902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488837 | 1.058232-RES | Resident Physician | 2017-06-28 | 2017-06-28 - 2020-06-30 | ACTIVE |
| Street Address | 620 2ND ST SW 311 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eunsook Samantha Lee | 910 Wicklow Lane Sw, Rochester, MN 55902 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Joshua L Shones | 635 36th St Sw, Rochester, MN 55902 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Hildon House Usa | 1421 20th St S W, Rochester, MN 55902 | Non-alcoholic Beverage & Water Bottlers | 1997-06-10 ~ 1998-06-30 |
| Manuel A Moreno Gonzales | 159 Grandeville Road Sw Vnh22, Rochester, MN 55902 | Controlled Substance Registration for Practitioner | 2016-06-29 ~ 2017-02-28 |
| Eileen F Hawkins | 844 7th Ave Sw, Rochester, MN 55902 | Registered Nurse | 1993-05-25 ~ 1994-07-31 |
| Kenneth A Iczkowski | 621 1st St S.w., Rochester, MN 55902 | Physician/surgeon | ~ 1996-07-31 |
| Craig A Hawkins | 844 7th Avenue Sw, Rochester, MN 55902 | Physician/surgeon | 1994-02-25 ~ 1995-01-31 |
| Heilia L Vines | 2804 2nd Street Sw, Rochester, MN 55902 | Registered Nurse | 2007-01-08 ~ 2008-01-31 |
| Lynette J Krakowski | 2845 Fox Valley Dr, Rochester, MN 55902 | Registered Nurse | 1994-06-16 ~ 1995-06-30 |
| Renee L Jacobson | 1029 Plummer Cir Sw, Rochester, MN 55902 | Pharmacist | 1800-12-27 ~ 1993-03-31 |
| Find all Licenses in zip 55902 | |||
| City | ROCHESTER |
| Zip Code | 55902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pradeep P Atluri Md | 104 E 40th St Rm 802, New York, NY 10016-1810 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Pradeep S Mohan | 95 Melba St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Pradeep H Lakshminarayana | 40 Avalon Dr Unit 6223, Milford, CT 06460-8954 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PRADEEP K SIDDAPPA.
| 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).