PAWAN KUMAR KARANAM
Controlled Substance Registration for Practitioner


Address: Third Floor Medical Education, Bridgeport, CT 11219-3362

PAWAN KUMAR KARANAM (Credential# 536818) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PAWAN KUMAR KARANAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045744. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is Third Floor Medical Education, Bridgeport, CT 11219-3362. The current status is inactive.

Basic Information

Licensee Name PAWAN KUMAR KARANAM
Credential ID 536818
Credential Number CSP.0045744
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Third Floor Medical Education
Bridgeport
CT 11219-3362
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-07-07
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address THIRD FLOOR MEDICAL EDUCATION
City BRIDGEPORT
State CT
Zip Code 11219-3362

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Shahla F Syed Third Floor Medical Education, Bridgeport, CT 06606 Controlled Substance Registration for Practitioner 2009-07-07 ~ 2011-02-28
Rudra D Barua Third Floor Medical Education, Bridgeport, CT 06606 Controlled Substance Registration for Practitioner 2009-07-07 ~ 2011-02-28

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City BRIDGEPORT
Zip Code 11219
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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