APARNA R PEMMARAJU
Physician/surgeon


Address: 245 East 93rd Street, New York, NY 10128

APARNA R PEMMARAJU (Credential# 561639) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 19, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

APARNA R PEMMARAJU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044057. The credential type is physician/surgeon. The effective date is January 19, 2007. The expiration date is February 29, 2008. The business address is 245 East 93rd Street, New York, NY 10128. The current status is inactive.

Basic Information

Licensee Name APARNA R PEMMARAJU
Credential ID 561639
Credential Number 1.044057
Credential Type Physician/Surgeon
Business Address 245 East 93rd Street
New York
NY 10128
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-02-01
Effective Date 2007-01-19
Expiration Date 2008-02-29
Refresh Date 2009-07-08

Office Location

Street Address 245 East 93rd Street
City New York
State NY
Zip Code 10128

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Richard Lewis Kadin 47 E. 87th Street, New York, NY 10128 Architect 2018-08-01 ~ 2019-07-31
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Tyler S Lucas Md 1349 Lexington Avenue #4d, New York, NY 10128 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter S Rattner 50 East 89th St, New York, NY 10128 Physician/surgeon 2020-07-01 ~ 2021-06-30
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City New York
Zip Code 10128
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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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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