SREENIVASA R PINNAMANENI (Credential# 549192) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2016. The license status is INACTIVE.
SREENIVASA R PINNAMANENI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031450. The credential type is physician/surgeon. The effective date is August 1, 2015. The expiration date is July 31, 2016. The business address is 1109 2220 West Mission Lane, Phoenix, AZ 85021. The current status is inactive.
| Licensee Name | SREENIVASA R PINNAMANENI |
| Credential ID | 549192 |
| Credential Number | 1.031450 |
| Credential Type | Physician/Surgeon |
| Business Address |
1109 2220 West Mission Lane Phoenix AZ 85021 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1991-03-29 |
| Effective Date | 2015-08-01 |
| Expiration Date | 2016-07-31 |
| Refresh Date | 2016-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158527 | CSP.0018971 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-11-08 - 1996-12-01 | INACTIVE |
| Street Address | 1109 2220 WEST MISSION LANE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin E Perling | 7733 N 4th Ave, Phoenix, AZ 85021 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Raymond A. Labrecque | 22 W Palmaire Ave, Phoenix, AZ 85021 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kisria Rechul | 622 West Linger Lane, Phoenix, AZ 85021 | Physician/surgeon | 2019-11-01 ~ 2020-11-30 |
| Paul S Porell | 7115 N 22 Dr, Phoenix, AZ 85021 | Professional Engineer | 1989-02-21 ~ 1990-01-31 |
| Development Foundation International | 8220 N. 15 Avenue, Pheonix, AZ 85021 | Public Charity | 2009-10-13 ~ 2010-05-31 |
| Stella Brin | 8102 N 19th Drive, Phoenix, AZ 85021 | Hairdresser/cosmetician | 2008-08-20 ~ 2010-10-31 |
| Leonard Mcwillie | 8902 N 19th Ave, Phoenix, AZ 85021 | Licensed Practical Nurse | 1999-12-27 ~ 2000-12-31 |
| Pauline J Parsons | 2323 West Dunlap, Phoenix, AZ 85021 | Registered Nurse | 1981-01-01 ~ 1993-11-30 |
| Beverly Pear | 1007 W Golden Lane, Phoenix, AZ 85021 | Dental Hygienist | 1993-11-10 ~ 1994-12-31 |
| Bobby L Wilson · Robert Wilson | 9008 North 14th Dr, Phoenix, AZ 85021 | Hairdresser/cosmetician | 2004-05-17 ~ 2006-07-31 |
| Find all Licenses in zip 85021 | |||
| City | PHOENIX |
| Zip Code | 85021 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHOENIX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sreenivasa R Patibandla | 177 White Plains Road, Apt #21b, Tarrytown, NY 10591 | Physician/surgeon | 2002-06-27 ~ 2003-07-31 |
| Sreenivasa Nallapareddygari | 20 Kinglet Dr N, Cranbury, NJ 08512-2127 | Pharmacy Technician | 2020-06-19 ~ 2021-03-31 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).