HARISH MARISIDDAIAH (Credential# 160455) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 13, 1993. The license expiration date date is January 1, 1996. The license status is INACTIVE.
HARISH MARISIDDAIAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020435. The credential type is controlled substance registration for practitioner. The effective date is December 13, 1993. The expiration date is January 1, 1996. The business address is 87 Southport Woods, Southport, CT 06490. The current status is inactive.
| Licensee Name | HARISH MARISIDDAIAH |
| Credential ID | 160455 |
| Credential Number | CSP.0020435 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
87 Southport Woods Southport CT 06490 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-12-13 |
| Expiration Date | 1996-01-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550206 | 1.032603 | Physician/Surgeon | 1992-09-11 | 1994-05-25 - 1995-07-31 | INACTIVE |
| Street Address | 87 SOUTHPORT WOODS |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06490 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Stramaglia | 67 Steep Hill Rd, Southport, CT 06490 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Pequot Yacht Club | 669 Harbor Road, Southport, CT 06490 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary B Varjas | 186 Kings Dr, Southport, CT 06490 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeanne Power | 117 Butternut Ln, Southport, CT 06490 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Mina C Viladas | 163 South Gate Lane, Southport, CT 06490 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Horseshoe Cafe · Horseshoe Restaurant Inc | 355 Pequot Ave, Southport, CT 06490 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Walker Construction Inc. | Po Box 134, Southport, CT 06490 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Mikaela L Bean | 89 Fawn Hill Drive, Westbrook, CT 06490 | Real Estate Salesperson | 2020-03-02 ~ 2021-05-31 |
| Mary A Guerrera | 143 Hulls Farm Road, Southport, CT 06490 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| John F Kelly | P.o. Box J, Southport, CT 06490 | Notary Public Appointment | 1968-01-01 ~ 1972-03-31 |
| Find all Licenses in zip 06490 | |||
| City | SOUTHPORT |
| Zip Code | 06490 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harish K Gundluru Md | 17 Ironwood Way, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harish Kempegowda | 2175 Cedar Ave Apt 3i, Bronx, NY 10468-5500 | Controlled Substance Registration for Practitioner | 2019-03-26 ~ 2021-02-28 |
| Nir J Harish | 1700 Emerson St Unit 401, Denver, CO 80218-1485 | 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on HARISH MARISIDDAIAH.
| 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).