KELLY RAJESH PATEL (Credential# 2050612) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY RAJESH PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074226. The credential type is controlled substance registration for practitioner. The effective date is June 16, 2020. The expiration date is February 28, 2021. The business address is 18272 W 12 Mile Rd Apt 202, Southfield, MI 48076-2668. The current status is active.
Licensee Name | KELLY RAJESH PATEL |
Credential ID | 2050612 |
Credential Number | CSP.0074226 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
18272 W 12 Mile Rd Apt 202 Southfield MI 48076-2668 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-06-16 |
Effective Date | 2020-06-16 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-06-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2036483 | 1.066220 | Physician/Surgeon | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
Street Address | 18272 W 12 MILE RD APT 202 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48076-2668 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie M Knox | 20661 Southome St, Southfield, MI 48076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Beacon Hill Medical Pharmacy · Rxtra Solutions | 1816 W 13 Mile Rd Ste, Southfield, MI 48076 | Nonresident Pharmacy | ~ |
Robert M Roth Jr | 30655 Oldstream, Southfield, MI 48076 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
Leo I Stein | 29540 Southfield Rd, Southfield, MI 48076 | Architect | 1997-01-27 ~ 1997-07-31 |
Michael Thomas Weber | 18550 San Diego Blvd, Lathrup Village, MI 48076-3316 | Registered Nurse | ~ |
David L Smith | 20736 Knob Woods Dr Apt 203, Southfield, MI 48076-4018 | Public Service Technician - Telephone | 2011-01-10 ~ 2011-09-30 |
38 Donald J Giffels | 20500 Civic Center Dr #3500, Southfield, MI 48076-4101 | Professional Engineer | 1999-02-05 ~ 2000-01-31 |
Zwick & Banyai Pllc | 20750 Civic Center Dr Ste 418, Southfield, MI 48076-4132 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Good Charity Inc · Children's Leukemia of America Fund; Disaster Relief and Aid Fund; Disabled Veterans Wheelchair Games; National Breast Cancer Aw | 20750 Civic Center Dr Ste 180, Southfield, MI 48076-4147 | Public Charity | 2015-12-01 ~ 2016-11-30 |
Marlene C Collins | 20001 Evergreen Meadows Rd, Southfield, MI 48076-4214 | Registered Nurse - Temporary | 2013-11-16 ~ 2014-03-15 |
Find all Licenses in zip 48076 |
City | SOUTHFIELD |
Zip Code | 48076 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajesh N Saraiya Md | 680 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1997-04-11 ~ 1998-02-28 |
Rajesh Verma Md | 110 Wentworth Ave, Albertson, NY 11507 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Venkata Rajesh Konjeti | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
Rajesh Kumar Kumaraswami | 8 Tashua Ln, Trumbull, CT 06611-1636 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rajesh K Mehta | 39 Buckland St Apt 15122, Manchester, CT 06042-7700 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Rajesh C Parekh | 32 Jeremy Dr, East Lyme, CT 06333-1544 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rajesh Zacharias | Uconn Health Cntr, Farmiington, CT 06030 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Rajesh Tota-maharaj | 6 Indian Hill Rd, Monroe, CT 06468-2861 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Rajesh V Lalla Dds | Uconn Health Center Mc3912, Farmington, CT 06030-3912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Padmavatia Patel Md · C/o Southbury Training School | 1461 South Britain Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).