RANI U. ATHREYA
Physician/surgeon


Address: 36 Quinnehtuk Cir, Longmeadow, MA 01106-2910

RANI U. ATHREYA (Credential# 556962) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is October 31, 2013. The license status is PENDING.

Business Overview

RANI U. ATHREYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039376. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is October 31, 2013. The business address is 36 Quinnehtuk Cir, Longmeadow, MA 01106-2910. The current status is pending.

Basic Information

Licensee Name RANI U. ATHREYA
Credential ID 556962
Credential Number 1.039376
Credential Type Physician/Surgeon
Business Address 36 Quinnehtuk Cir
Longmeadow
MA 01106-2910
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT APPLICATION PENDING
Issue Date 2001-03-22
Effective Date 2012-10-01
Expiration Date 2013-10-31
Refresh Date 2017-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
307148 CSP.0032078 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 36 QUINNEHTUK CIR
City LONGMEADOW
State MA
Zip Code 01106-2910

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City LONGMEADOW
Zip Code 01106
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LONGMEADOW

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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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