MADHURI ADABALA (Credential# 2004598) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 31, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MADHURI ADABALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073101. The credential type is controlled substance registration for practitioner. The effective date is January 31, 2020. The expiration date is February 28, 2021. The business address is 5350 Old Dowlen Rd Apt 1018, Beaumont, TX 77706-6644. The current status is active.
| Licensee Name | MADHURI ADABALA |
| Credential ID | 2004598 |
| Credential Number | CSP.0073101 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5350 Old Dowlen Rd Apt 1018 Beaumont TX 77706-6644 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-31 |
| Effective Date | 2020-01-31 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1168319 | 1.052342 | Physician/Surgeon | 2013-08-22 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 950438 | CSP.0048654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-25 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 5350 OLD DOWLEN RD APT 1018 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6644 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas King | 5760 Wynden Way, Beaumont, TX 77706 | Registered Nurse - Temporary | 2020-02-21 ~ 2020-06-20 |
| Paulette Marie Palmer | 7075 Blarney, Beaumont, TX 77706 | Registered Nurse | ~ |
| Keeli Linn Anderson | 6725 Linkwood St., Beaumont, TX 77706 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| S Srinanthakumar | 4810 Christina Ln, Beaumont, TX 77706 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Ben L Sueoka Md | 4325 Brownstone Dr, Beaumont, TX 77706 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carol C Reddell | 1105 East Drive, Beaumont, TX 77706 | Resident Physician | ~ |
| Raj Kumar Singla | 3000 39th St, Port Arthur, TX 77706 | Physician/surgeon | 1996-08-22 ~ 1997-07-31 |
| Sakuntala Srinanthakumar | 4810 Christina, Beaumont, TX 77706 | Physician/surgeon | 1995-03-27 ~ 1996-03-31 |
| Martha H Walker | 1235 Shakespeare, Beaumont, TX 77706 | Registered Nurse | 1996-10-21 ~ 1997-11-30 |
| Angela R Doody | 6685 Lexington Dr, Beaumont, TX 77706 | Registered Nurse | 1981-01-01 ~ 1993-12-31 |
| Find all Licenses in zip 77706 | |||
| City | BEAUMONT |
| Zip Code | 77706 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEAUMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madhuri Pratinidhi | 351 Merline Road Ste 101, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madhuri D Gadiyaram | 826 Ternay Ave, Scotch Plains, NJ 07076-2150 | Controlled Substance Registration for Practitioner | 2019-09-23 ~ 2021-02-28 |
| Madhuri Tirumandas | 1 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Madhuri N Bakhru Md | Edgewood Prof Center, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madhuri D Shah Md | 60 Oxford Drive, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Madhuri Manne Md | 3204 Flanagan Drive, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on MADHURI ADABALA.
| 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).