MADDAMSETTI N RAO (Credential# 551065) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 3, 1994. The license expiration date date is December 31, 1994. The license status is INACTIVE.
MADDAMSETTI N RAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033466. The credential type is physician/surgeon. The effective date is January 3, 1994. The expiration date is December 31, 1994. The business address is 700 East Loop Rd, Stony Brook, NY 11790. The current status is inactive.
Licensee Name | MADDAMSETTI N RAO |
Credential ID | 551065 |
Credential Number | 1.033466 |
Credential Type | Physician/Surgeon |
Business Address |
700 East Loop Rd Stony Brook NY 11790 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-12-30 |
Effective Date | 1994-01-03 |
Expiration Date | 1994-12-31 |
Refresh Date | 2009-07-08 |
Street Address | 700 EAST LOOP RD |
City | STONY BROOK |
State | NY |
Zip Code | 11790 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maryann Farina | 100 Patriots Road, Stony Brook, NY 11790 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Karen F Foda | 14 William Penn Dr, Stony Brook, NY 11790 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Gregory D Peterman | 4 Ormont Lane, Stony Brook, NY 11790 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
James R Tauby | 5 Botany Lane, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
William J Lahti | 8 Brookview Ct, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Marie S Anderson | 3 Midfield Street, Stony Brook, NY 11790 | Notary Public Appointment | 1999-08-03 ~ 2004-08-31 |
Jennifer L H Moller | Post Office Box 78, Stony Brook, NY 11790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Anthom Building LLC | 8 Shore Road, Stony Brook, NY 11790 | New Home Construction Contractor | 2015-10-02 ~ 2017-09-30 |
Frank M Russo | 51 Hargrove Drive, Stony Brook, NY 11790 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
James T Suazo | 5 Lilac Drive, Stony Brook, NY 11790 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Find all Licenses in zip 11790 |
City | STONY BROOK |
Zip Code | 11790 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STONY BROOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).