PERRY P KANERIYA (Credential# 563590) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
PERRY P KANERIYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046008. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 1839 N Government Way, Coeur D Alene, ID 83814-3454. The current status is inactive.
Licensee Name | PERRY P KANERIYA |
Credential ID | 563590 |
Credential Number | 1.046008 |
Credential Type | Physician/Surgeon |
Business Address |
1839 N Government Way Coeur D Alene ID 83814-3454 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-11-19 |
Effective Date | 2014-07-01 |
Expiration Date | 2015-06-30 |
Refresh Date | 2015-10-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
491541 | CSP.0042988 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-01-07 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 1839 N Government Way |
City | Coeur D Alene |
State | ID |
Zip Code | 83814-3454 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joanna Arcuni Carlson | 1839 N Government Way Ste B, Coeur D Alene, ID 83814-3454 | Physician/surgeon | 2019-09-04 ~ 2020-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Lawrence D Bub Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
David G Drake | C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Robin Prasad Md | 250 Northwest Blvd #202, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Find all Licenses in zip 83814 |
City | Coeur D Alene |
Zip Code | 83814 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Coeur D Alene |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy Tan | 135 Perry St Apt 9, New York, NY 10014 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Perry G Seese | Ste 218, Atlanta, GA 30329 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Perry R Stevens Md | 25 Forest St Apt# 11m, Stamford, CT 06901 | Physician/surgeon | 1998-01-20 ~ 1999-03-31 |
Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
Robert J Perry | 1 Geiser St, Mystic, CT 06355-3027 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Nicholas A. Perry | 540 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Perry A. Pugno | 158 Merriman Rd, Windsor, CT 06095-1007 | Physician/surgeon | 1982-03-22 ~ 1984-04-30 |
Perry M Dansky | 56 Kenmore Rd, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joseph R Perry | 19 Commerce St, Clinton, CT 06413 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Bruce Duncan Perry | 76 Hawthorne Ave, Hamden, CT 06517-1825 | Physician/surgeon | 1986-11-14 ~ 1988-05-31 |
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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).