UMA SUNDARAM (Credential# 546614) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 19, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.
UMA SUNDARAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027486. The credential type is physician/surgeon. The effective date is April 19, 1995. The expiration date is May 31, 1996. The business address is 219 Highland Ave, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | UMA SUNDARAM |
| Credential ID | 546614 |
| Credential Number | 1.027486 |
| Credential Type | Physician/Surgeon |
| Business Address |
219 Highland Ave Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-07-24 |
| Effective Date | 1995-04-19 |
| Expiration Date | 1996-05-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155611 | CSP.0014418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-01-24 - 1996-02-01 | INACTIVE |
| Street Address | 219 HIGHLAND AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John W Kruczek | 219 Highland Ave, Wallingford, CT 06492-2134 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| Lynn A Kruczek | 219 Highland Ave, Wallingford, CT 06492-2134 | Emergency Medical Technician | 2014-12-08 ~ 2017-10-01 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sundaram V Ramanan | 18 Tabor Circle, West Hartford, CT 06117-1474 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subodhkumar Sundaram Md | 4019 Woodland Road, Annandale, VA 22003 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Sundaram Solai | 3 Clarendon Ct, West Windsor, NJ 08550-2025 | Professional Engineer | 2019-12-03 ~ 2021-01-31 |
| Vidya A Sundaram | 31 Maplewood Ave, West Hartford, CT 06119-1630 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vishalakshi Sundaram Md | 333 North State Road, Briarcliff Manor, NY 10510 | Controlled Substance Registration for Practitioner | 2013-06-19 ~ 2015-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Please comment or provide details below to improve the information on UMA SUNDARAM.
| 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).