JAYASREE M REDDI MD (Credential# 550806) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 10, 1997. The license expiration date date is April 30, 1998. The license status is INACTIVE.
JAYASREE M REDDI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033207. The credential type is physician/surgeon. The effective date is March 10, 1997. The expiration date is April 30, 1998. The business address is 165 State St, New London, CT 06320. The current status is inactive.
Licensee Name | JAYASREE M REDDI MD |
Credential ID | 550806 |
Credential Number | 1.033207 |
Credential Type | Physician/Surgeon |
Business Address |
165 State St New London CT 06320 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-07-30 |
Effective Date | 1997-03-10 |
Expiration Date | 1998-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
164490 | CSP.0021449 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
Street Address | 165 STATE ST |
City | NEW LONDON |
State | CT |
Zip Code | 06320 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christopher Manry Heddon | 165 State St, New London, CT 06320-6397 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Chocolates & More · Pamela Walsh | 165 State St, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2001-08-01 ~ 2002-07-31 |
Carolyn & Co | 165 State St, New London, CT 06320 | Bakery | 2001-04-23 ~ 2001-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jayasree Tatagari | 908 Christian Ct, Niskayuna, NY 12309-3543 | Physician/surgeon | 2012-11-13 ~ 2013-03-31 |
Vuha Reddi | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Srinath-reddi Pingle | 20 Deer Run Dr, West Hartford, CT 06107-3140 | Emergency Medical Technician | 2013-09-23 ~ 2016-07-01 |
Jayasree Dokku | 517 Avenel St, Avenel, NJ 07001 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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 |
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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).