VENKATA SURYAKUMARI VENKATASESHAN
Physician/surgeon


Address: 24 Martin St, Bergenfield, NJ 07621-2209

VENKATA SURYAKUMARI VENKATASESHAN (Credential# 1624573) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 28, 1977. The license expiration date date is September 30, 1982. The license status is INACTIVE.

Business Overview

VENKATA SURYAKUMARI VENKATASESHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019313. The credential type is physician/surgeon. The effective date is September 28, 1977. The expiration date is September 30, 1982. The business address is 24 Martin St, Bergenfield, NJ 07621-2209. The current status is inactive.

Basic Information

Licensee Name VENKATA SURYAKUMARI VENKATASESHAN
Credential ID 1624573
Credential Number 1.019313
Credential Type Physician/Surgeon
Business Address 24 Martin St
Bergenfield
NJ 07621-2209
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-09-28
Effective Date 1977-09-28
Expiration Date 1982-09-30
Refresh Date 2019-01-08

Office Location

Street Address 24 MARTIN ST
City BERGENFIELD
State NJ
Zip Code 07621-2209

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Jeffrey H Smilow 50 Regent St, Bergenfield, NJ 07621 Professional Engineer 2018-03-06 ~ 2019-01-31
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Muriel Gawlik 33 Tuscarora Street, Bergenfield, NJ 07621 Notary Public Appointment 2009-07-01 ~ 2014-06-30
Rainier Saliente 35 Arlington Ave, Bergenfield, NJ 07621 Physical Therapist 2019-10-08 ~ 2020-10-31
Stacie L Morvay 251 Hickory Ave, Bergenfield, NJ 07621 Registered Nurse 2019-12-01 ~ 2020-11-30
Lea Angela S Lamorena 16 Terrace St., Bergenfield, NJ 07621 Registered Nurse 2019-08-01 ~ 2020-07-31
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City BERGENFIELD
Zip Code 07621
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BERGENFIELD

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Dataset Information

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).

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