GEETHA PUTHENVEETIL
Physician/surgeon


Address: 1717 N Verdugo Rd, Glendale, CA 91208-2943

GEETHA PUTHENVEETIL (Credential# 555627) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 3, 1999. The license expiration date date is August 31, 2000. The license status is INACTIVE.

Business Overview

GEETHA PUTHENVEETIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038037. The credential type is physician/surgeon. The effective date is August 3, 1999. The expiration date is August 31, 2000. The business address is 1717 N Verdugo Rd, Glendale, CA 91208-2943. The current status is inactive.

Basic Information

Licensee Name GEETHA PUTHENVEETIL
Credential ID 555627
Credential Number 1.038037
Credential Type Physician/Surgeon
Business Address 1717 N Verdugo Rd
Glendale
CA 91208-2943
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-08-03
Effective Date 1999-08-03
Expiration Date 2000-08-31
Refresh Date 2009-07-08

Office Location

Street Address 1717 N VERDUGO RD
City GLENDALE
State CA
Zip Code 91208-2943

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John Karagozian 1540 Colina Dr, Glendale, CA 91208 Professional Engineer 1997-02-01 ~ 1998-01-31
Bret D Nichols 531 Mesa Lila Rd, Glendale, CA 91208-1040 Engineer-in-training 2008-06-10 ~ 2018-06-10
Marissa L Timoteo 2121 Valderas Dr Apt 86, Glendale, CA 91208-1346 Radiographer 2014-03-01 ~ 2015-02-28
Anne Mae B Climaco 1726 Hillfair Dr, Glendale, CA 91208-2710 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Competitor

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City GLENDALE
Zip Code 91208
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLENDALE

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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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