PRASANTHY CHINNAREDDY (Credential# 563760) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2008. The license expiration date date is June 30, 2009. The license status is INACTIVE.
PRASANTHY CHINNAREDDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046178. The credential type is physician/surgeon. The effective date is June 16, 2008. The expiration date is June 30, 2009. The business address is 1058 Ingleside Terrace, Johnson City, TN 37604. The current status is inactive.
| Licensee Name | PRASANTHY CHINNAREDDY |
| Credential ID | 563760 |
| Credential Number | 1.046178 |
| Credential Type | Physician/Surgeon |
| Business Address |
1058 Ingleside Terrace Johnson City TN 37604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-01-31 |
| Effective Date | 2008-06-16 |
| Expiration Date | 2009-06-30 |
| Refresh Date | 2009-11-02 |
| Street Address | 1058 Ingleside Terrace |
| City | Johnson City |
| State | TN |
| Zip Code | 37604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson City Bedding Company | 250 W. Market St., Johnson City, TN 37604 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Thomas Evely | 121 N Commerce Street, Johnson City, TN 37604 | Physician/surgeon | ~ |
| Anita F Fitzpatrick · Miles | 416 W Chestnut Street, Johnson City, TN 37604 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Brianna Monet Mitchell | 1185 W Mountain View Rd Apt 1218, Johnson City, TN 37604 | Registered Nurse - Temporary | 2018-07-25 ~ 2018-11-21 |
| Laure Beverage Company | 300 Boggs Ln, Johnson City, TN 37604 | Non-alcoholic Beverage & Water Bottlers | 1997-07-01 ~ 1998-06-30 |
| Dana Leigh Brown | 2913 Antioch Rd, Johnson City, TN 37604 | Registered Nurse | 2016-03-07 ~ 2017-01-31 |
| Diana L Heiman Md | Etsu Family Medicine Associates, Johnson City, TN 37604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| George W Stano Jr | 123 Jack Martin Lane, Gray, TN 37604 | Podiatrist | 2011-04-01 ~ 2012-03-31 |
| Emmanuel E Okon | 1185 W Mountain View Road, Apt. 2227, Johnson City, TN 37604 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Michael Bagheri | 1185 West Mountain View Rd, Johnson City, TN 37604 | Physician/surgeon | 2010-06-01 ~ 2011-06-30 |
| Find all Licenses in zip 37604 | |||
| City | Johnson City |
| Zip Code | 37604 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Johnson City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on PRASANTHY CHINNAREDDY.
| 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).