PAVAN GANAPATHIRAJU (Credential# 1632584) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PAVAN GANAPATHIRAJU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062363-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 3527 Windsor Ct, Mays Landing, NJ 08330-3210. The current status is active.
| Licensee Name | PAVAN GANAPATHIRAJU |
| Credential ID | 1632584 |
| Credential Number | 1.062363-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
3527 Windsor Ct Mays Landing NJ 08330-3210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-03-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1631336 | CSP.0070246 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-02-15 | 2019-02-15 - 2021-02-28 | ACTIVE |
| Street Address | 3527 WINDSOR CT |
| City | MAYS LANDING |
| State | NJ |
| Zip Code | 08330-3210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lina Lourdes R Fellizar | 15 Da Vinci Way, Mays Landing, NJ 08330 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alvin M Ho | 3610 Starlight Circle, Mays Landing, NJ 08330 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Letia S May | 4956 Flintshire Court, Mays Landing, NJ 08330 | Hairdresser/cosmetician | 2008-03-25 ~ 2010-03-31 |
| Cecile G Lock | 5912 Fir Lane, Mays Landing, NJ 08330 | Massage Therapist | 1999-09-17 ~ 2000-09-30 |
| Donna Millard | 6243 Oak Street, Mays Landing, NJ 08330 | Physical Therapist | ~ 1996-06-30 |
| Eunice C Hodgkins | 930 Goldfinch Drive, Mays Landing, NJ 08330 | Registered Nurse | 1991-12-20 ~ 1992-12-31 |
| Melony P Mcdermott | 4760 Summersweet Drive, Mays Landing, NJ 08330 | Registered Nurse | 2008-04-02 ~ 2009-02-28 |
| Marionette A Alega | 37 Abington Ct, Mays Landing, NJ 08330-1939 | Licensed Practical Nurse | ~ |
| Juancho G Alega | 37 Abington Ct, Mays Landing, NJ 08330-1939 | Licensed Practical Nurse | ~ |
| Christina M Delaney | 93 Deal Ln, Mays Landing, NJ 08330-2254 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Find all Licenses in zip 08330 | |||
| City | MAYS LANDING |
| Zip Code | 08330 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MAYS LANDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pavan K Challa | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2019-06-10 ~ 2022-06-21 |
| Pavan Liqueur | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-03-20 ~ 2020-03-19 |
| Pavan Kumar Punukollu | 20 Charlotte Drive, Andover, MA 01810 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Pavan Manchikalapati Md | 2600 Vaughn Lakes Blvd#835, Montgomery, AL 36117 | Physician/surgeon | 2006-05-18 ~ 2007-07-31 |
| Pavan Liqueur De France | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-02-19 ~ 2017-02-18 |
| Aldo Pavan | 354 Keeney St, Manchester, CT 06040 | Electrical Unlimited Contractor | 2004-10-01 ~ 2005-09-30 |
| Pavan Kumar Alapati | 405 Hollyhill Drive, Rockyhill, CT 06067 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Louis Pavan | 92 Brookside Rd., Waterbury, CT 06708 | Medication Administration Certification | 2000-12-13 ~ 2002-12-12 |
| Pavan R Saridena Md | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2009-04-20 ~ 2011-02-28 |
| Pavan Kumar Kanikicherla | 149 Old Country Rd, Deer Park, NY 11729-1920 | Engineer-in-training | 2018-04-16 ~ 2028-04-16 |
Please comment or provide details below to improve the information on PAVAN GANAPATHIRAJU.
| 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).