VENKATAR PULIVARTHI
Physician/surgeon


Address: 210 East Market Street, Orange, CT 06477

VENKATAR PULIVARTHI (Credential# 550932) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 14, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.

Business Overview

VENKATAR PULIVARTHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033333. The credential type is physician/surgeon. The effective date is July 14, 1995. The expiration date is May 31, 1996. The business address is 210 East Market Street, Orange, CT 06477. The current status is inactive.

Basic Information

Licensee Name VENKATAR PULIVARTHI
Credential ID 550932
Credential Number 1.033333
Credential Type Physician/Surgeon
Business Address 210 East Market Street
Orange
CT 06477
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-09-17
Effective Date 1995-07-14
Expiration Date 1996-05-31
Refresh Date 2009-07-08

Office Location

Street Address 210 East Market Street
City Orange
State CT
Zip Code 06477

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Competitor

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City Orange
Zip Code 06477
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Orange

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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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