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.
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.
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 |
Street Address | P O BOX #176 |
City | WILLARD |
State | NY |
Zip Code | 14588 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Autumn Dawn Busselle | 720 Sidney Ln, Willard, MO 65781-7272 | Occupational Therapist Assistant | 2020-02-10 ~ 2021-07-31 |
Cassandra M. Hogaboom | 830 Pershing St, Willard, MO 65781 | Hairdresser/cosmetician | 2013-08-22 ~ 2015-04-30 |
City | WILLARD |
Zip Code | 14588 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WILLARD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sampath Gunda | 2181 Wallace Ave Apt 3e, Bronx, NY 10462-1827 | Physician/surgeon | 2013-05-23 ~ 2014-03-31 |
Prakash Sampath | 118 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2007-01-02 ~ 2008-02-29 |
Aiswerya Madanam Sampath | 50 Presidential Plaza, 2404, Syracuse, NY 13202 | Physician/surgeon | ~ |
Suhas P Neerukonda Md | 33 Highland Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Anthony Sampath | 164 Grove St, Windsor Locks, CT 06096-1870 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
Anjanee Sampath | 93-b Main St, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
Sampath Subramaniam | 178 Meeting House Lane, Southampton, NY 11968 | Controlled Substance Registration for Practitioner | 2015-07-09 ~ 2017-02-28 |
Alicia E Sampath | 1100 Shippan Avenue, Stamford, CT 06902 | Notary Public Appointment | 1995-12-05 ~ 2000-12-31 |
Winston Sampath | 249 Union Ave, Mount Vernon, NY 10550-3650 | Heating, Piping & Cooling Limited Journeyperson | 2016-10-13 ~ 2017-08-31 |
Sampath Damineni · Priya Indian Cuisine | 1860 Silas Deane Hwy, Rocky Hill, CT 06067-1306 | Restaurant Liquor | 2012-10-24 ~ 2013-10-23 |
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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).