PALLAVI NADENDLA (Credential# 1628342) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PALLAVI NADENDLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062490. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 111 Founders Plz Ste 400, East Hartford, CT 06108-3240. The current status is active.
| Licensee Name | PALLAVI NADENDLA |
| Credential ID | 1628342 |
| Credential Number | 1.062490 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1643441 | CSP.0070554 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-01 | 2019-04-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John K. Horky | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| John P Volpe Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Matthew Francois Del Guzzo | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bret F Coughlin Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joshua A Kallen | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Suzanna Poplawski | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Steve Y Lee Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas H Farquhar Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Margaret K Szerejko Md · Jefferson X-ray Group Incorporated | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas D Montgomery | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen K Ohki Md | 16 Colonial Drive North, Bloomfield, CT 06108-3240 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Diana M. James Md | 111 Founders Plz, East Hartford, CT 06108-3240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pillai Pallavi Madhusoodhan | 80 Dekalb Ave, Brooklyn, NY 11201-5407 | Physician/surgeon | 2013-08-21 ~ 2014-05-31 |
| Pallavi P Gopal | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Pallavi LLC | 6 Belden Ave, Norwalk, CT 06850-3313 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Pallavi Basu | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Pallavi Patil | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-03 ~ 2021-06-30 |
| Pallavi Joshi | 350 Beach Ave Unit Lt, Staten Island, NY 10306-4334 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Pallavi Rath | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Pallavi Baskaralingam | 38 W George Pl, Iselin, NJ 08830-1145 | Registered Nurse | 2012-01-03 ~ 2013-01-31 |
| Pallavi Kasturi | 15 Warren Drive, Seymour, CT 06483 | Emergency Medical Technician | ~ |
| Pallavi Kabra | 15 Freedom Way Unit 91, Niantic, CT 06357-1045 | Real Estate Salesperson | 2012-06-01 ~ 2013-05-31 |
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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).