ANU VELLANKI (Credential# 1382556) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANU VELLANKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055913. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 164 Otrobando Ave, Norwich, CT 06360-2116. The current status is active.
| Licensee Name | ANU VELLANKI |
| Credential ID | 1382556 |
| Credential Number | 1.055913 |
| Credential Type | Physician/Surgeon |
| Business Address |
164 Otrobando Ave Norwich CT 06360-2116 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1389131 | CSP.0064345 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 164 OTROBANDO AVE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward C Yates Dds | 164 Otrobando Ave, Norwich, CT 06360-2116 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Mridula Rai | 164 Otrobando Ave, Norwich, CT 06360-2116 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Karim Soliman Md | 164 Otrobando Ave, Norwich, CT 06360 | Physician/surgeon | 2003-12-19 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norwich Little League | 180 Otrobando Ave, Norwich, CT 06360-2116 | Raffle Permit Class 1 | 2016-04-09 ~ 2016-06-11 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vijaya L Vellanki | 7250 Perkins Road, Baton Rouge, LA 70808 | Physician/surgeon | 2008-03-06 ~ 2008-10-31 |
| Vinitha Vellanki | 263 Farmington Ave Mc-1234, Farmington, CT 06030-1234 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).