THULASI RAM GUDI (Credential# 1430438) 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.
THULASI RAM GUDI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065848. 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 2404 Eastmoreland Ave Apt 2d, Rockford, IL 61108-6364. The current status is active.
| Licensee Name | THULASI RAM GUDI |
| Credential ID | 1430438 |
| Credential Number | CSP.0065848 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2404 Eastmoreland Ave Apt 2d Rockford IL 61108-6364 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1680282 | 1.064233 | Physician/Surgeon | 2019-09-13 | 2019-09-13 - 2020-06-30 | ACTIVE IN RENEWAL |
| 1489077 | 1.058375-RES | Resident Physician | 2017-06-22 | 2017-06-22 - 2020-06-30 | ACTIVE |
| Street Address | 2404 EASTMORELAND AVE APT 2D |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-6364 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Seivert | 1298 Griggs Rd, Rockford, IL 61108 | Registered Nurse | ~ |
| John T Saunders | 4949 Harrison Ave Suite #100, Rockford, IL 61108 | Architect | 2019-08-01 ~ 2020-07-31 |
| Dan J Roszkowski | 4949 Harrison Ave., Suite 100, Rockford, IL 61108 | Architect | 2008-08-01 ~ 2009-07-31 |
| Sheila Mae G Cortez | 5145 E State St Apt C207, Rockford, IL 61108-2900 | Physical Therapist | 2013-03-01 ~ 2014-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swedishamerican Foundation | 1415 E State St Ste 100, Rockford, IL 61104-2300 | Public Charity | 2019-10-02 ~ 2020-05-31 |
| Robert E Andrus | 11629 Northland Drive, Rockford, MI 49341 | Architect | 2020-08-01 ~ 2021-07-31 |
| Emery Acquisition Group, LLC | One Airport Center, Rockford, IL 61109 | Securities - Exemptions | 2020-06-05 ~ |
| Andersonbrecon Inc | 5775 Logistics Pkwy, Rockford, IL 61109-3608 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kathryn Star Polnow | 908 Saint Andrews Way, Rockford, IL 61107-3848 | Registered Nurse | 2020-06-03 ~ 2021-05-31 |
| Amy Lynn Hicks | 2911 Troon Ct, Rockford, IL 61114-6483 | Registered Nurse - Temporary | 2020-01-06 ~ 2020-05-05 |
| Bonnie Lea Davis | 8948 Elstner Ave Ne, Rockford, MI 49341-7581 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
| Renee R Walker | 142 Highview Rd, Rockford, MN 55373 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Kenneth J Korcek Md | 324 Roxbury Rd, Rockford, IL 61107-5090 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Catherine Terhaar | 2900 N Saddle Ridge Ct Ne, Rockford, MI 49341-7591 | Genetic Counselor | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in ROCKFORD | |||
| City | ROCKFORD |
| Zip Code | 61108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCKFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Madhavacharya Gudi | 1354 83rd St, Brooklyn, NY 11228-3029 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| 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 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Nam H Kim Md | 331 Beacon St#2, Boston, MA 02116 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).