KAVITA PRABHAKAR MD (Credential# 979140) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KAVITA PRABHAKAR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049470. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Po Box 687, Brookfield, CT 06804-0687. The current status is active.
| Licensee Name | KAVITA PRABHAKAR MD |
| Credential ID | 979140 |
| Credential Number | CSP.0049470 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 687 Brookfield CT 06804-0687 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-12-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563073 | 1.045491 | Physician/Surgeon | 2007-06-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | PO BOX 687 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-0687 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prabhakar Reddy | 133-38 126th St, S Ozone Park, NY 11420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Veena Prabhakar Do | 369 Mountainside West, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2006-01-18 ~ 2007-02-28 |
| Kavita Menon | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Kavita Mariwalla | 225 E 34th St Apt 9e, New York, NY 10016-0241 | Controlled Substance Registration for Practitioner | 2011-05-23 ~ 2013-02-28 |
| Kavita S Namjoshi Md | 263 Trinity Ave, Glastonbury, CT 06033-1339 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kavita Advani | 131 Coventry St, Hartford, CT 06112-1548 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kavita Murlidharrao Dmd | 6 Terrell Farms Way, Wallingford, CT 06492-2077 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kavita D Ketwaroo | 99 Woodland Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kavita M Dhodapkar | 333 Cedar Street, Lmp 2073, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Please comment or provide details below to improve the information on KAVITA PRABHAKAR MD.
| 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).