GEETHA BHAVANI KANDIMALA (Credential# 1388515) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
GEETHA BHAVANI KANDIMALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056062. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 302 Nw 76th St, Lawton, OK 73505. The current status is active.
| Licensee Name | GEETHA BHAVANI KANDIMALA |
| Credential ID | 1388515 |
| Credential Number | 1.056062 |
| Credential Type | Physician/Surgeon |
| Business Address |
302 Nw 76th St Lawton OK 73505 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-01-10 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-12 |
| Street Address | 302 NW 76th St |
| City | Lawton |
| State | OK |
| Zip Code | 73505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin K Murray | 8005 Nw Aldwick Ave, Lawton, OK 73505 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Monique D Martin Lowery | 128 S W 69th St, Lawton, OK 73505 | Hairdresser/cosmetician | 1993-03-24 ~ 1994-04-30 |
| Michael L Castellano | 6902 Surreywood, Lawton, OK 73505 | Physician/surgeon | ~ 1997-02-28 |
| Telecia Kennedy | 7613 Nw Chesley Dr, Lawton, OK 73505-4114 | Registered Nurse - Temporary | 2018-08-02 ~ 2018-11-29 |
| Paul A Engelman Do | 36 Nw Sandy Trail Ln, Lawton, OK 73505-9558 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jones Seed Company Inc | 249 E Gore Blvd, Lawton, OK 73501-3011 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Kinju P Dudhia | 27567 Rolling Pines Court, Lawton, MI 49065 | Physical Therapist | 2008-10-27 ~ 2009-11-30 |
| Karen A Bluemer-giorgis | 1133 Nw Elm Ave., Lawton, OK 73507 | Occupational Therapist | 2007-09-04 ~ 2009-07-31 |
| Zahirah E Habassi | 4643 Se Brighton Pl, Lawton, OK 73501-6641 | Registered Nurse - Temporary | 2009-08-06 ~ 2009-12-04 |
| Lydia D Rodriguez | 402 B Rogers Lane, Lawton, OK 73507 | Registered Nurse | 2006-07-25 ~ 2007-03-31 |
| Suzanne N Pyne | 910 N E Dove Lane, Lawton, OK 73507 | Hairdresser/cosmetician | 1998-04-06 ~ 1999-05-31 |
| City | Lawton |
| Zip Code | 73505 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Lawton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha Narayan | 280 Washington St, Brighton, MA 02135-3511 | Physician/surgeon | 1978-04-27 ~ 1982-11-30 |
| Geetha Puthenveetil | 1717 N Verdugo Rd, Glendale, CA 91208-2943 | Physician/surgeon | 1999-08-03 ~ 2000-08-31 |
| Geetha Gangu Md | 142 Bucks Hill Road, Southbury, CT 06488 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Geetha R Swamy Iyah Md | 1009 Woodford Drive, Keller, TX 76248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Geetha Dhatreecharan | 1623 Grandeur Lane, Saint Joseph, MI 49085 | Physician/surgeon | 2007-11-09 ~ 2008-11-30 |
| Geetha Raghuveer | 5354 Mission Wood Road, Mission Woods, KS 66205 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Bhavani Vegesna | 81 Odonnell Ave, Shrewsbury, MA 01545-8125 | Physical Therapist | 2015-08-01 ~ 2016-07-31 |
| Bhavani S Kota | 37 Rachel Dr, Rocky Hill, CT 06067 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Bhavani Daryanani | 6125 98th St Apt 11m, Rego Park, NY 11374-1417 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
Please comment or provide details below to improve the information on GEETHA BHAVANI KANDIMALA.
| 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).