ODHIKADU DEVARAJAN MD (Credential# 153795) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ODHIKADU DEVARAJAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003301. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 983 David Walker Dr, Tavares, FL 32778-5714. The current status is inactive.
| Licensee Name | ODHIKADU DEVARAJAN MD |
| Credential ID | 153795 |
| Credential Number | CSP.0003301 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
983 David Walker Dr Tavares FL 32778-5714 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541869 | 1.016351 | Physician/Surgeon | 1973-11-02 | 2014-04-01 - 2015-02-28 | INACTIVE |
| Street Address | 983 DAVID WALKER DR |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5714 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten A Pease | 5849 Bounty Circle, Tavares, FL 32778 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Gail F Parkhurst | 1210 Nassau Circle, Tavares, FL 32778 | Registered Nurse | 1992-10-23 ~ 1993-12-31 |
| Joan M Hunihan | 1654 Elkhart Circle, Tavares, FL 32778 | Registered Nurse | 2007-01-22 ~ 2008-03-31 |
| Kevin M Carroll | 1165 Elm Ct, Tavares, FL 32778 | Engineer-in-training | 1995-07-10 ~ 2005-07-10 |
| Jason D Groves | 12310 Tavares Ridge Ct, Tavares, FL 32778 | Plumbing & Piping Unlimited Contractor | ~ |
| Jason D Groves | 18810 Tavares Ridge Ct, Tavares, FL 32778 | Heating, Piping & Cooling Unlimited Contractor | ~ |
| Marcia Q Fowler | 1640 Canal Ct, Tavares, FL 32778-2102 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Bryan J Mcquade | 1605 Orange Ave, Tavares, FL 32778-2111 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gina O'neill | 108 N Saint Clair Abrams Ave, Tavares, FL 32778-3258 | Radiographer | 2019-12-13 ~ 2020-08-31 |
| Joseph E Reneson | 104 Juniper Way, Tavares, FL 32778-4510 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TAVARES |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vidya Devarajan Md | 33 Whitman St, Bergenfield, NJ 07621 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| 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 |
| Arundati Rao | 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Soo Y Uh | 738 Wolcott St., Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ODHIKADU DEVARAJAN MD.
| 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).