SOMOSRI PAL (Credential# 1466967) 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.
SOMOSRI PAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067226. 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 3231 Forney Way, Sacramento, CA 95816-6584. The current status is active.
| Licensee Name | SOMOSRI PAL |
| Credential ID | 1466967 |
| Credential Number | CSP.0067226 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3231 Forney Way Sacramento CA 95816-6584 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1393927 | 23.003765 | Physician Assistant | 2017-01-26 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 3231 FORNEY WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-6584 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Morris | 2414 P Street, Sacramento, CA 95816 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brian J Provencal | 2431 Capitol Ave, Sacramento, CA 95816 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ryan Kinsel | 1216 26th St #4, Sacramento, CA 95816 | Home Improvement Salesperson | 2016-04-26 ~ 2016-11-30 |
| Timothy W Jones | 1109 37th Street, Sacramento, CA 95816 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Stephen I Stark | 2825 J Street, Sacramento, CA 95816 | Physician/surgeon | 2005-07-08 ~ 2006-08-31 |
| Derrick Lopez | 2714 F St Apt 6, Sacramento, CA 95816-3755 | Home Improvement Salesperson | 2017-03-30 ~ 2017-11-30 |
| Justyne W Ranns | 641 34th St, Sacramento, CA 95816-3819 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
| Austin Raub | 2119 I St, Sacramento, CA 95816-4039 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Adam Chollet | 1217 25th St Apt B, Sacramento, CA 95816-5023 | Home Improvement Salesperson | 2016-04-22 ~ 2016-11-30 |
| Kristopher Penland | 2509 P St, Sacramento, CA 95816-6310 | Home Improvement Salesperson | 2016-04-22 ~ 2016-11-30 |
| Find all Licenses in zip 95816 | |||
| City | SACRAMENTO |
| Zip Code | 95816 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SACRAMENTO |
| 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 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Sue A Smolski | 55 Nye Rd Ste 102, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2015-05-21 ~ 2017-02-28 |
| Ria M Lim | 111 Ledgewood Rd Apt 305, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SOMOSRI PAL.
| 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).