SHRIKANTH PY UPADYA MD (Credential# 554907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 27, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.
SHRIKANTH PY UPADYA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037317. The credential type is physician/surgeon. The effective date is August 27, 2007. The expiration date is May 31, 2008. The business address is 5640 Spinnaker Loop, Lady Lake, FL 32159. The current status is inactive.
Licensee Name | SHRIKANTH PY UPADYA MD |
Credential ID | 554907 |
Credential Number | 1.037317 |
Credential Type | Physician/Surgeon |
Business Address |
5640 Spinnaker Loop Lady Lake FL 32159 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-10-09 |
Effective Date | 2007-08-27 |
Expiration Date | 2008-05-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
282704 | CSP.0031007 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
Street Address | 5640 SPINNAKER LOOP |
City | LADY LAKE |
State | FL |
Zip Code | 32159 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anupama Upadya Md | 5640 Spinnaker Loop, Lady Lake, FL 32159 | Physician/surgeon | 2007-02-12 ~ 2008-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mario Tyrone Louis | 430 Winners Circle, Lady Lake, FL 32159 | Registered Nurse - Temporary | 2019-05-08 ~ 2019-09-05 |
Paula S Pendleton | 941 Mendoza Blvd., Lady Lake, FL 32159 | Registered Sanitarian | 2017-07-01 ~ 2018-06-30 |
Lucille A Dowling | 268 Montoya Dr, The Villages, FL 32159 | Licensed Practical Nurse | 2017-04-01 ~ 2018-03-31 |
Maribel Perez | 185 Tara Oaks Cir, Lady Lake, PR 32159 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
Joan H Hutchinson | 1846 Madero Drive, Lady Lake, FL 32159 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
Maureen S Chodan | 423 Hwy 466, Lady Lake, FL 32159 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
Vonda L Kirchberger | 929 Soledad Way, Lady Lake, FL 32159 | Registered Nurse | 2008-05-05 ~ 2010-06-30 |
Beverly M Bullock | 612 Third Ave, Lady Lake, FL 32159 | Hairdresser/cosmetician | 1994-07-19 ~ 1995-07-31 |
Margaret E Witick | 13847 Cr 109 D, Lady Lake, FL 32159 | Licensed Practical Nurse | 1994-05-19 ~ 1995-06-30 |
Gladys M Etchells | 1133 Salido Ave, Lady Lake, FL 32159 | Registered Nurse | 1995-02-16 ~ 1996-04-30 |
Find all Licenses in zip 32159 |
City | LADY LAKE |
Zip Code | 32159 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LADY LAKE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anupama Upadya Md | 5640 Spinnaker Loop, Lady Lake, FL 32159 | Physician/surgeon | 2007-02-12 ~ 2008-02-29 |
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 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).