SUNIL K YERRAGONDU
Controlled Substance Registration for Practitioner


Address: Shafa Medical Center, East Hartford, CT 06108

SUNIL K YERRAGONDU (Credential# 1055255) 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.

Business Overview

SUNIL K YERRAGONDU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052098. 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 Shafa Medical Center, East Hartford, CT 06108. The current status is active.

Basic Information

Licensee Name SUNIL K YERRAGONDU
Credential ID 1055255
Credential Number CSP.0052098
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Shafa Medical Center
East Hartford
CT 06108
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-03-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1050610 1.050589 Physician/Surgeon 2012-02-06 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address SHAFA MEDICAL CENTER
City EAST HARTFORD
State CT
Zip Code 06108

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Competitor

Search similar business entities

City EAST HARTFORD
Zip Code 06108
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HARTFORD

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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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