KISHOR AVASARALA
Physician/surgeon


Address: 3015 Plaza Dr, Woodbridge, NJ 07095-1139

KISHOR AVASARALA (Credential# 1040952) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 5, 1992. The license expiration date date is May 31, 1993. The license status is INACTIVE.

Business Overview

KISHOR AVASARALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032321. The credential type is physician/surgeon. The effective date is June 5, 1992. The expiration date is May 31, 1993. The business address is 3015 Plaza Dr, Woodbridge, NJ 07095-1139. The current status is inactive.

Basic Information

Licensee Name KISHOR AVASARALA
Credential ID 1040952
Credential Number 1.032321
Credential Type Physician/Surgeon
Business Address 3015 Plaza Dr
Woodbridge
NJ 07095-1139
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-06-05
Effective Date 1992-06-05
Expiration Date 1993-05-31
Refresh Date 2011-11-14

Office Location

Street Address 3015 PLAZA DR
City WOODBRIDGE
State NJ
Zip Code 07095-1139

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Mary K Vidro 252 Grove Street, Woodbridge, NJ 07095 Registered Nurse 2020-05-01 ~ 2021-04-30
Vinay D Chokshi 3113 Plaza Drive, Woodbridge, NJ 07095 Professional Engineer 2013-02-01 ~ 2014-01-31
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Investigational Drug Delivery LLC 280 Woodbridge Ave Ste B, Woodbridge, NJ 07095 Wholesaler of Drugs, Cosmetics & Medical Devices 2017-08-09 ~ 2018-06-30
Chetankumar K Chauhan 167 Sherry Street, Woodbridge, NJ 07095 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Pillsbury Co Amboy Ave, Woodbridge, NJ 07095 Frozen Dessert Wholesaler 1999-01-05 ~ 1999-12-31
Pooja Goel 1307 Plaze Drive, Woodbridge, NJ 07095 Certified Public Accountant Certificate ~
Donald M Macdonald · The Austin Co 31 Fleetwood Rd, Woodbridge, NJ 07095 Professional Engineer 1987-02-23 ~ 1988-01-31
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Competitor

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City WOODBRIDGE
Zip Code 07095
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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Dataset Information

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).

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