PRIYADARSHINI SARIDE VENKATA (Credential# 704406) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
PRIYADARSHINI SARIDE VENKATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009954. The credential type is dentist. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 6210 Gibson Ln Apt 3202, Texarkana, TX 75503-1249. The current status is active.
Licensee Name | PRIYADARSHINI SARIDE VENKATA |
Credential ID | 704406 |
Credential Number | 2.009954 |
Credential Type | Dentist |
Business Address |
6210 Gibson Ln Apt 3202 Texarkana TX 75503-1249 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-10-20 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1281661 | CSP.0059983 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-08 | 2017-03-01 - 2019-02-28 | LAPSED |
518881 | CSP.0044828 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-17 | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 6210 GIBSON LN APT 3202 |
City | TEXARKANA |
State | TX |
Zip Code | 75503-1249 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sai P Haranath Md | 6210 Gibson Ln Apt 3202, Texarkana, TX 75503-1249 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cordell L Klein Md | 1902 Moores Lane, Texarkana, TX 75503 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Susan R Blankenship | 7002 Shadow Brooke, Texarkana, TX 75503 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Susan R Butler | 301 Easy St, Texarkana, TX 75503 | Registered Nurse | 2012-05-01 ~ 2013-04-30 |
Senior Respiratory Solutions | 3448 Summerhill Rd, Texarkana, TX 75503 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
Betty A Jester | 109 Jack St, Texarkana, TX 75503 | Registered Nurse | 1995-03-29 ~ 1996-03-31 |
Carolyn S Luoma | 3810 Bamboo, Texarkana, TX 75503 | Registered Nurse | 1999-10-01 ~ 2000-10-31 |
Gregory L Conley | 3502 Moores Ln, Texarkana, TX 75503 | Registered Nurse | 2003-01-06 ~ 2004-02-29 |
Joanne M Mcbroome | 6602 Chaparral, Texarkana, TX 75503 | Registered Nurse | 1994-07-20 ~ 1995-09-30 |
Lori L Cobb | 2509 Richmond Road, Texarkana, TX 75503 | Registered Nurse | 2006-02-21 ~ 2007-03-31 |
Terri Bingham | 6014 Beacon Hill Drive, Texarkana, TX 75503 | Registered Nurse | 2003-11-04 ~ 2004-12-31 |
Find all Licenses in zip 75503 |
City | TEXARKANA |
Zip Code | 75503 |
License Type | Dentist |
License Type + County | Dentist + TEXARKANA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Venkata Rama Krishna Rao Adusumilli | 629 S Main St, Cheshire, CT 06410-3149 | Dentist | 2017-11-01 ~ 2018-10-31 |
Priyadarshini Balasubramanian | 3336 Fairfield Ave Apt 302, Bridgeport, CT 06605-3288 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Priyadarshini Trikha Dds | 800 West St, Braintree, MA 02184 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Geetha Priyadarshini Krishnan | 9435 Ozark Ave, Morton Grove, IL 60053-1064 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
Venkata K R Swami | 1 Oak Hill Farms Rd, Ellington, CT 06029-4329 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Venkata Ratna Pothula | 25 Gosselin Rd, Nashua, NH 03062-1401 | Pharmacist | ~ |
Venkata Durbhaka | 3951 Gouverneur Ave Apt 4a, Bronx, NY 10463-2908 | Podiatrist | 2013-10-04 ~ 2014-09-30 |
Venkata C Gourineni | 15 Avalon Dr, Milford, CT 06460-8958 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Venkata Naga Sai Jatin Gumpella | 5 Bel Air Ct, Milltown, NJ 08850-2183 | Pharmacist | ~ |
Anjan Venkata Marella | 241 S Allen St Apt 304, Albany, NY 12208-2058 | Physician/surgeon | 2020-04-30 ~ 2020-08-31 |
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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).