SHANTI S EPPANAPALLY
Physician/surgeon


Address: 777 East 5th Street, Brooklyn, NY 11218

SHANTI S EPPANAPALLY (Credential# 554359) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

SHANTI S EPPANAPALLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036768. The credential type is physician/surgeon. The expiration date is May 31, 1998. The business address is 777 East 5th Street, Brooklyn, NY 11218. The current status is inactive.

Basic Information

Licensee Name SHANTI S EPPANAPALLY
Credential ID 554359
Credential Number 1.036768
Credential Type Physician/Surgeon
Business Address 777 East 5th Street
Brooklyn
NY 11218
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-04-03
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Office Location

Street Address 777 EAST 5TH STREET
City BROOKLYN
State NY
Zip Code 11218

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City BROOKLYN
Zip Code 11218
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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