VASUDEVA M BOMMANNA (Credential# 553708) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 29, 1999. The license expiration date date is October 31, 2000. The license status is INACTIVE.
VASUDEVA M BOMMANNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036116. The credential type is physician/surgeon. The effective date is October 29, 1999. The expiration date is October 31, 2000. The business address is 607 Russell Blvd, Nacogdoches, TX 75961. The current status is inactive.
| Licensee Name | VASUDEVA M BOMMANNA |
| Credential ID | 553708 |
| Credential Number | 1.036116 |
| Credential Type | Physician/Surgeon |
| Business Address |
607 Russell Blvd Nacogdoches TX 75961 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-06-20 |
| Effective Date | 1999-10-29 |
| Expiration Date | 2000-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 607 RUSSELL BLVD |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dawn A Neff | 36 Austin Hollow, Nacogdoches, TX 75961 | Physical Therapist | 1997-06-09 ~ 1998-07-31 |
| Susan M Horn | 10958 County Road 302, Nacogdoches, TX 75961-7693 | Registered Nurse - Temporary | 2013-10-31 ~ 2014-02-27 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eli Z Ryder | 4664 West State Hwy 21, Nacogdoches, TX 75964 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Benjamin Gallegos | 12518 Us Highway 259, Nacogdoches, TX 75965-8224 | Elevator Limited Conveyor Journeyperson | ~ |
| Texas Farm Products Company | Po Box 630009, Nacogdoches, TX 75963-0009 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Precise Pet Products | 915 S Fredonia St, Nacogdoches, TX 75964-5913 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Michael K Joseph | 2614 North University Dr, Nacogdoches, TX 75965 | Pharmacist | 2012-02-01 ~ 2014-01-31 |
| Abdul R K Hashim Md | 4704 N University Dr Apt 625, Nacogdoches, TX 75965 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Binusha Moitheennazima Md | 4704 N University Dr, Nacogdoches, TX 75965 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| James Hendrix | Rt 3 Box 1960, Nacogdoches, TX 75964 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Anf Specialties | 915 S Fredonia St, Nacogdoches, TX 75964-5913 | Commercial Feed | 2015-01-01 ~ 2015-12-31 |
| City | NACOGDOCHES |
| Zip Code | 75961 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NACOGDOCHES |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasudeva M Kamath | 60 Sutton Pl S # 4bn, New York, NY 10022-4168 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Isha B Vasudeva | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Sushma Vasudeva | 200 White Plains Rd, Trumbull, CT 06611 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Vasudeva G Shenoi Md | 68 Wedgewood Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).