JAYASREE M REDDI MD
Physician/surgeon


Address: 165 State St, New London, CT 06320

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
164490 CSP.0021449 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 165 STATE ST
City NEW LONDON
State CT
Zip Code 06320

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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

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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
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Competitor

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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Dataset Information

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).

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