SRIDHAR MANI
Controlled Substance Registration for Practitioner


Address: 5050 South Lake, Chicago, IL 60615

SRIDHAR MANI (Credential# 161883) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 25, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.

Business Overview

SRIDHAR MANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020780. The credential type is controlled substance registration for practitioner. The effective date is January 25, 1995. The expiration date is February 28, 1996. The business address is 5050 South Lake, Chicago, IL 60615. The current status is inactive.

Basic Information

Licensee Name SRIDHAR MANI
Credential ID 161883
Credential Number CSP.0020780
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5050 South Lake
Chicago
IL 60615
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-01-25
Expiration Date 1996-02-28
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
550243 1.032640 Physician/Surgeon 1992-10-16 1995-04-04 - 1996-01-31 INACTIVE

Office Location

Street Address 5050 SOUTH LAKE
City CHICAGO
State IL
Zip Code 60615

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Malitta V Engstrom 4721-f South Woodlawn Avenue, Chicago, IL 60615 Licensed Clinical Social Worker 2011-03-01 ~ 2012-02-29
Tracy E Erwin-grabner 5432 S Kimbark Ave.#3r, Chicago, IL 60615 Professional Counselor ~
Robert C Deegan 5020 South Lake, Chicago, IL 60615 Registered Nurse 2003-10-09 ~ 2004-11-30
Shihfan Kuan 1448 East 55th St, Chicago, IL 60615 Physician/surgeon 1994-07-06 ~ 1995-07-31
Nancy A Malone 5020 So Lake Shore, Chicago, IL 60615 Registered Nurse 1995-05-16 ~ 1996-02-29
James J Gill 5401 S. Cornell Ave., Chicago, IL 60615 Physician/surgeon 2003-06-03 ~ 2004-05-31
Claudine R Rosiecki · Fiorilli 5050 S Lake Shore Drive, Chicago, IL 60615 Registered Nurse 2000-04-25 ~ 2001-04-30
Hedwig E Staskus 5429 South Kenwood Ave., Chicago, IL 60615 Registered Nurse 2006-03-31 ~ 2007-01-31
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Competitor

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City CHICAGO
Zip Code 60615
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHICAGO

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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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