ANANTAPUR PANDURANGA (Credential# 1329554) 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.
ANANTAPUR PANDURANGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061990. 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 11 Quail Ridge Rd, Gaylordsville, CT 06755. The current status is active.
| Licensee Name | ANANTAPUR PANDURANGA |
| Credential ID | 1329554 |
| Credential Number | CSP.0061990 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Quail Ridge Rd Gaylordsville CT 06755 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-01-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545078 | 1.024611 | Physician/Surgeon | 1983-07-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 11 QUAIL RIDGE RD |
| City | GAYLORDSVILLE |
| State | CT |
| Zip Code | 06755 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole M Baruffo | 7 Straits Rock Lane, Gaylordsville, CT 06755 | Real Estate Salesperson | ~ |
| Brian S Cossari | 62 Colonial Ridge Dr, Gaylordsville, CT 06755 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Michelle S George | 8 Beverly Dr, Gaylordsville, CT 06755 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Meghan Forno | 9 Oratory Lane, Gaylordsville, CT 06755 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Suzette S Mcdonald | 16 Colonial Ridge Drive, Gaylordsville, CT 06755 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Kristin A Barese | 76 South Kent Road, Gaylordsville, CT 06755 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Robert J Macho · Country Package Store | Route 7 George Washington Plaza, Gaylordsville, CT 06755 | Package Store Liquor | 2020-06-23 ~ 2021-06-22 |
| Anne Catherine Robbins | 611 Kent Rd, Gaylordsville, CT 06755 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Mary Jean Hinz | 503 River Road, Gaylordsville, CT 06755 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Amanda Colarusso | 1 Hemlock Lane, Gaylordsville, CT 06755 | Notary Public Appointment | 2020-04-24 ~ 2025-04-30 |
| Find all Licenses in zip 06755 | |||
| City | GAYLORDSVILLE |
| Zip Code | 06755 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GAYLORDSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veena Panduranga | 34 Maple Street, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Kaushik Roy | Apt A2, Farmington, CT 06032-1249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).