THANJAVUR S RAVIKUMAR
Controlled Substance Registration for Practitioner


Address: The Cancer Institute, New Brunswick, NJ 08901

THANJAVUR S RAVIKUMAR (Credential# 158018) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 12, 1993. The license expiration date date is April 1, 1995. The license status is INACTIVE.

Business Overview

THANJAVUR S RAVIKUMAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017834. The credential type is controlled substance registration for practitioner. The effective date is March 12, 1993. The expiration date is April 1, 1995. The business address is The Cancer Institute, New Brunswick, NJ 08901. The current status is inactive.

Basic Information

Licensee Name THANJAVUR S RAVIKUMAR
Credential ID 158018
Credential Number CSP.0017834
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address The Cancer Institute
New Brunswick
NJ 08901
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-03-12
Expiration Date 1995-04-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
542766 1.018426 Physician/Surgeon 1990-01-19 1993-02-25 - 1994-03-31 INACTIVE

Office Location

Street Address THE CANCER INSTITUTE
City NEW BRUNSWICK
State NJ
Zip Code 08901

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City NEW BRUNSWICK
Zip Code 08901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRUNSWICK

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Dataset Information

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).

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