SAMPATH NEERUKONDA
Physician/surgeon


Address: P O Box #176, Willard, NY 14588

SAMPATH NEERUKONDA (Credential# 551033) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 3, 1994. The license expiration date date is May 31, 1995. The license status is INACTIVE.

Business Overview

SAMPATH NEERUKONDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033434. The credential type is physician/surgeon. The effective date is June 3, 1994. The expiration date is May 31, 1995. The business address is P O Box #176, Willard, NY 14588. The current status is inactive.

Basic Information

Licensee Name SAMPATH NEERUKONDA
Credential ID 551033
Credential Number 1.033434
Credential Type Physician/Surgeon
Business Address P O Box #176
Willard
NY 14588
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-26
Effective Date 1994-06-03
Expiration Date 1995-05-31
Refresh Date 2009-07-08

Office Location

Street Address P O BOX #176
City WILLARD
State NY
Zip Code 14588

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City WILLARD
Zip Code 14588
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WILLARD

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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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