JAGAN K CHILAKAMARRI MD (Credential# 188345) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
JAGAN K CHILAKAMARRI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026132. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 1177 Bordeau Court, Dunwoody, GA 30338. The current status is inactive.
| Licensee Name | JAGAN K CHILAKAMARRI MD |
| Credential ID | 188345 |
| Credential Number | CSP.0026132 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1177 Bordeau Court Dunwoody GA 30338 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553895 | 1.036303 | Physician/Surgeon | 1997-08-15 | 2004-06-28 - 2005-08-31 | INACTIVE |
| Street Address | 1177 BORDEAU COURT |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30338 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean A Shackelford | 4510 Orleans Drive, Atlanta, GA 30338 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Valerie M Nucera | 5038 N Peachtree Rd, Atlanta, GA 30338 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| James E Boltz | 1409 Mile Post Dr, Dunwoody, GA 30338 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rahim A Zadeh | 1769 Kenstone Walk, Dunwoody, GA 30338 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joseph M Demartino | 4673 Glenshire Place, Dunwoody, GA 30338 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Karesia Jones | 4000 Dunwoody Park Apt.5206, Dunwoody, GA 30338 | Registered Nurse | 2019-01-02 ~ 2020-01-31 |
| Levon Gibson | 2300 Peachwood Rd, Dunwoody, GA 30338 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| William H Vereecke | 5150 Lakesprings Dr, Dunwoody, GA 30338 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Williams Benator & Libby, LLP | 1040 Crownpointe Pkwy, Suite 400, Atlanta, GA 30338 | Certified Public Accountant Firm Permit | 2014-01-02 ~ 2014-12-31 |
| Demetriss A Johnson | 4000 Dunwoody Park, #4302, Dunwoody, GA 30338 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Find all Licenses in zip 30338 | |||
| City | DUNWOODY |
| Zip Code | 30338 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DUNWOODY |
| 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 |
| Jagan M Punuru | 135 Woodland Street, Hartford, CT 06105 | Physician/surgeon | ~ 1996-01-31 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Priyanka Chilakamarri | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-15 ~ 2021-03-31 |
| 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 |
| Arundati Rao | 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 |
| 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 |
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| 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).