YESU KUMAR MATTA
Physician/surgeon


Address: 54 Borden Ave Apt A16, Norwich, NY 13815-1176

YESU KUMAR MATTA (Credential# 1790750) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

YESU KUMAR MATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064545. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 54 Borden Ave Apt A16, Norwich, NY 13815-1176. The current status is active.

Basic Information

Licensee Name YESU KUMAR MATTA
Credential ID 1790750
Credential Number 1.064545
Credential Type Physician/Surgeon
Business Address 54 Borden Ave Apt A16
Norwich
NY 13815-1176
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-11-04
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1997585 CSP.0073003 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-01-09 2020-01-09 - 2021-02-28 ACTIVE

Office Location

Street Address 54 BORDEN AVE APT A16
City NORWICH
State NY
Zip Code 13815-1176

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Professional Teleconcepts, LLC 5132 State Highway 12 South, Norwich, NY 13815 Major Contractor 2020-07-01 ~ 2021-06-30
David R Crain Rd#3, Box 133b, Norwich, NY 13815 Crane Operator 1992-03-01 ~ 1994-02-28
Grover L Simpson Hc 67, Box 358 A, Norwich, NY 13815 Crane Operator 1994-11-17 ~ 1996-11-16
Kristin E Nassar 182 Sharman Dr, Norwich, NY 13815 Engineer-in-training 2006-11-14 ~ 2016-11-14
Professional Teleconcepts Inc 5132 State Highway 12, Norwich, NY 13815 Major Contractor 2015-04-01 ~ 2016-06-30
Tom Shelito · Qc-2 67 Rexford St, Norwich, NY 13815 Electrical Limited Journeyperson ~
Lynn P Banocy · Mastrogiovanni 118 Dan Main Hill Road, Norwich, NY 13815 Licensed Practical Nurse 2012-01-01 ~ 2012-12-31
Emily M Manwarren 130 Dan Main Hill, Norwich, NY 13815 Licensed Practical Nurse 2006-11-15 ~ 2007-08-31
Peter J Kasmarcik 7 Brown Ave, Norwich, NY 13815 Electrical Limited Journeyperson 2002-10-21 ~ 2003-09-30
Joanne Marino-dann P.o. Box 341, Norwich, NY 13815 Licensed Practical Nurse 2006-02-16 ~ 2007-01-31
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Competitor

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City NORWICH
Zip Code 13815
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORWICH

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Ayman Z Matta 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 Physician/surgeon ~
Stephen Matta 3956 Terrace St, Philadelphia, PA 19128-5227 Physician/surgeon 2020-02-01 ~ 2021-01-31
Arvind Kumar CT Physician/surgeon 1988-05-27 ~ 1988-12-31
Anil Kumar Mongia 381 Elm Dr, Roslyn, NY 11576-3045 Physician/surgeon ~
Swarup Kumar 24 Park Pl Apt 9f, Hartford, CT 06106-5022 Physician/surgeon ~
Sandeep Kumar 300 Woodcliff Rd, Newton, MA 02461-2128 Physician/surgeon ~
Kumar S Kalapatapu Chappaqua, NY 10514 Physician/surgeon 2020-09-01 ~ 2021-08-31
Alok Kumar 759 Chestnut St, Springfield, MA 01199-1001 Physician/surgeon ~
Manjula Kumar 913 W. Lockhart St, Sayre, PA 18840 Physician/surgeon 1996-12-19 ~ 1997-10-31
Chandrika Kumar 20 York St, New Haven, CT 06510-3220 Physician/surgeon 2020-04-01 ~ 2021-03-31

Improve Information

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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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