ANIL KUMAR S REDDY MD (Credential# 159883) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
ANIL KUMAR S REDDY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018355. The credential type is controlled substance registration for practitioner. The effective date is April 1, 1996. The expiration date is February 28, 1997. The business address is 20 Harnish Lane, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | ANIL KUMAR S REDDY MD |
| Credential ID | 159883 |
| Credential Number | CSP.0018355 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Harnish Lane Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-04-01 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548855 | 1.031007 | Physician/Surgeon | 1990-08-03 | 1995-08-07 - 1996-08-31 | INACTIVE |
| Street Address | 20 HARNISH LANE |
| 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 |
|---|---|---|---|
| Mythri Anil Kumar | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Vinay Kumar Reddy Battula | 95 Hockanum Blvd Unit 5421, Vernon Rockville, CT 06066-7015 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sushma Reddy Donthi Reddy | Bright Dental Care, PC. Suite 203, Springfield, MA 01103 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anil K Ghimire | 40 Prospect Ave Apt 2-4m, Norwalk, CT 06850-3742 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| Anil K Chowdhary Dmd | 65 Avonwood Rd Apt B-12, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Anil J Britto | 38 Grove St # B, Ridgefield, CT 06877-4030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil K. Vuggam Dds | 100 Jefferson Sq, Waterbury, CT 06706-1105 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Anil Mathew Md | 228 Deerbrooke Circle, Soutington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil Gautam | 115 Cove Road, Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 1994-08-09 ~ 1996-09-01 |
| Anil K Gudipati | 955 Pavilion Loop, San Jose, CA 95112-4864 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).