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Registration and Business Contact Information
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Priyanka .
Registration Number:
1099918
Last Name:
.
Given Name:
Priyanka
Former Last Name:
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Registration Information
Current Registration Category:
Practitioner
Current Registration Status:
Revoked – non-renewal
Designations(s):
Authorized for Independent Practice (has professional liability insurance):
No
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Registration History
Initial Registration Information:
Initial Registration Date:
4/19/2023 11:32:27 AM
Initial Registration Category:
Student
Status:
Active
Subsequent Changes in Category and/or Status are Listed below:
Date
Category Change
Status Change
Date of Change
New Category
New Status
5/25/2023 5:12:09 PM
Practitioner
7/15/2024 5:30:56 PM
Suspended
10/1/2024 5:14:30 PM
Revoked – non-renewal
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