VENKAT SUBRAMANYAM (Credential# 1425329) 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.
VENKAT SUBRAMANYAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065546. 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 5808 Fairview Woods Dr, Fairfax Station, VA 22039-1400. The current status is active.
| Licensee Name | VENKAT SUBRAMANYAM |
| Credential ID | 1425329 |
| Credential Number | CSP.0065546 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5808 Fairview Woods Dr Fairfax Station VA 22039-1400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488866 | 1.058261-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 5808 FAIRVIEW WOODS DR |
| City | FAIRFAX STATION |
| State | VA |
| Zip Code | 22039-1400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven P Bracci | 8307 Silverthorn Road, Fairfax Station, VA 22039 | Certified Public Accountant Certificate | 2020-06-18 ~ 2020-12-31 |
| Paul E Ruud | 7705 Manor House Drive, Fairfax Station, VA 22039 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James B Laflamme | 7920 Woodland Hills Lane, Fairfax Station, VA 22039 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Seabee Memorial Scholarship Association Inc | 8103 Glenhurst Dr., Fairfax Station, VA 22039 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Janet S Bracci | 8307 Silverthorn Rd, Fairfax Station, VA 22039 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Matthew B Smith | 7104 Laketree Dr, Fairfax Station, VA 22039 | Engineer-in-training | 2005-11-15 ~ 2015-11-15 |
| James Thomas Butkovich | 8393 Crosslake Dr, Fairfax Station, VA 22039 | Professional Engineer | 1999-07-20 ~ 2000-01-31 |
| Richard A Lawrie | 6107 Henry House Ct, Fairfax Stn, VA 22039 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Ann M Boglarski | 8300 Tabor Lane, Fairfax Station, VA 22039 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Malcolm D Belt | 8616 Oak Brook Ln, Fairfax Station, VA 22039 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Find all Licenses in zip 22039 | |||
| City | FAIRFAX STATION |
| Zip Code | 22039 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFAX STATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Kalyani G Subramanyam | 7 Whippletree Ln, Amherst, MA 01002-3152 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Subramanyam Poornima | 136 Cypress Rd, Newington, CT 06111-5608 | Physician/surgeon | 1998-12-10 ~ 2000-02-29 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
Please comment or provide details below to improve the information on VENKAT SUBRAMANYAM.
| 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).