VIKRAM B MRUTHYUNJAYANNA MD (Credential# 461912) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
VIKRAM B MRUTHYUNJAYANNA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041078. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 5 Turnberry Rd, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | VIKRAM B MRUTHYUNJAYANNA MD |
| Credential ID | 461912 |
| Credential Number | CSP.0041078 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Turnberry Rd Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-02-02 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562599 | 1.045017 | Physician/Surgeon | 2007-01-05 | 2009-03-18 - 2010-02-28 | INACTIVE |
| 373722 | CSP.0035129 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-29 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 5 TURNBERRY RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vikram S Gavande | 514 Foxon Road, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Vikram Pole | 27 Woodland Park, Hartford, CT 06105-1216 | Controlled Substance Registration for Practitioner | 2017-03-20 ~ 2019-02-28 |
| Kunal Vikram Desai | 17 Irving Pl, Harrison, NY 10528-4206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vikram B Reddy Md | Yale-dept. of Surgery, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vikram Beemidi | 263 Farmington Ave Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-07-20 ~ 2008-02-29 |
| Vikram Overseas Ltd | E44/3okhlaindlareaphase11, Floral Park, 110020 | Manufacturer of Bedding & Upholstered Furniture | 2004-03-10 ~ 2005-04-30 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on VIKRAM B MRUTHYUNJAYANNA MD.
| 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).