NANDINI KOLLA
Controlled Substance Registration for Practitioner


Address: 205 Hunters Ln, Newington, CT 06111-4555

NANDINI KOLLA (Credential# 1196564) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 31, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

NANDINI KOLLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056447. The credential type is controlled substance registration for practitioner. The effective date is December 31, 2013. The expiration date is February 28, 2015. The business address is 205 Hunters Ln, Newington, CT 06111-4555. The current status is inactive.

Basic Information

Licensee Name NANDINI KOLLA
Credential ID 1196564
Credential Number CSP.0056447
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 205 Hunters Ln
Newington
CT 06111-4555
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-12-31
Effective Date 2013-12-31
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1164402 1.052457 Physician/Surgeon 2013-09-20 2013-09-20 - 2014-08-31 INACTIVE

Office Location

Street Address 205 HUNTERS LN
City NEWINGTON
State CT
Zip Code 06111-4555

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Harsha V. Ganga 205 Hunters Ln, Newington, CT 06111-4555 Controlled Substance Registration for Practitioner 2013-03-12 ~ 2015-02-28

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Licensee Name Office Address Credential Effective / Expiration
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Competitor

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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