KUNAL DOMAKONDA (Credential# 1343810) 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.
KUNAL DOMAKONDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062398. 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 6 Old Gate Road, Wallingford, CT 06492. The current status is active.
| Licensee Name | KUNAL DOMAKONDA |
| Credential ID | 1343810 |
| Credential Number | CSP.0062398 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Old Gate Road Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE |
| Active | 1 |
| Issue Date | 2016-04-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1331803 | 1.055129 | Physician/Surgeon | 2016-04-05 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1330344 | CSP.0062012 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-06 | 2016-04-06 - 2016-04-13 | INACTIVE |
| Street Address | 6 Old Gate Road |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mirjana Jojic Domakonda | 6 Old Gate Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kunal Kanani | 905 Mix Ave Apt 2a, Hamden, CT 06514-5114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kunal N. Patel Dds | 953 Dixwell Ave, Hamden, CT 06514-4951 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kunal Vikram Desai | 17 Irving Pl, Harrison, NY 10528-4206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kunal Bhalla Dds | 110 Cypress Street, Brookline, MA 02445 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kunal Gupta | 465 Buckland Hills Dr Apt 23121, Manchester, CT 06042-9110 | 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 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KUNAL DOMAKONDA.
| 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).