VENKATA C GOURINENI (Credential# 1080290) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
VENKATA C GOURINENI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051178. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 15 Avalon Dr, Milford, CT 06460-8958. The current status is inactive.
| Licensee Name | VENKATA C GOURINENI |
| Credential ID | 1080290 |
| Credential Number | 1.051178 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Avalon Dr Milford CT 06460-8958 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-07-11 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 943857 | CSP.0048019 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-26 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 15 AVALON DR |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-8958 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Venkata Suryakumari Venkataseshan | 24 Martin St, Bergenfield, NJ 07621-2209 | Physician/surgeon | 1977-09-28 ~ 1982-09-30 |
| Anjan Venkata Marella | 241 S Allen St Apt 304, Albany, NY 12208-2058 | Physician/surgeon | 2020-04-30 ~ 2020-08-31 |
| Venkata Ravi Shankar Chivukula | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | ~ |
| Venkata S Majjiga | 206 Nob Hill Drive, Elmfsord, NY 10523 | Physician/surgeon | 2008-09-02 ~ 2009-09-30 |
| Venkata Naga Sai Jatin Gumpella | 5 Bel Air Ct, Milltown, NJ 08850-2183 | Pharmacist | ~ |
| 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 K R Swami | 1 Oak Hill Farms Rd, Ellington, CT 06029-4329 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Venkata Rama Krishna Rao Adusumilli | 629 S Main St, Cheshire, CT 06410-3149 | Dentist | 2017-11-01 ~ 2018-10-31 |
| Venkata Hemanth | 1020 Fairfield Ave, Bridgeport, CT 06605-1187 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
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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).