SRINIVASA R EDARA
Physician/surgeon


Address: 207 Drake Ave, New Rochelle, NY 10805

SRINIVASA R EDARA (Credential# 555535) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 16, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.

Business Overview

SRINIVASA R EDARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037945. The credential type is physician/surgeon. The effective date is July 16, 1999. The expiration date is March 31, 2000. The business address is 207 Drake Ave, New Rochelle, NY 10805. The current status is inactive.

Basic Information

Licensee Name SRINIVASA R EDARA
Credential ID 555535
Credential Number 1.037945
Credential Type Physician/Surgeon
Business Address 207 Drake Ave
New Rochelle
NY 10805
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-16
Effective Date 1999-07-16
Expiration Date 2000-03-31
Refresh Date 2009-07-08

Office Location

Street Address 207 DRAKE AVE
City NEW ROCHELLE
State NY
Zip Code 10805

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Richard L Kahn 770 Davenport Ave, New Rochelle, NY 10805 Physician/surgeon 2020-08-01 ~ 2021-07-31
Alec Louis Pura Cruz 184 Drake Ave, New Rochelle, NY 10805 Registered Nurse 2020-07-01 ~ 2021-06-30
Anthony Marciano Real Estate Inc 51 Windsor Oval, New Rochelle, NY 10805 Real Estate Broker 2009-04-01 ~ 2010-03-31
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Competitor

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City NEW ROCHELLE
Zip Code 10805
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW ROCHELLE

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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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