MOHAN S VODAPALLY MD (Credential# 557179) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MOHAN S VODAPALLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039595. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 2447 Whitney Ave Ste -1, Hamden, CT 06518-3211. The current status is active.
| Licensee Name | MOHAN S VODAPALLY MD |
| Credential ID | 557179 |
| Credential Number | 1.039595 |
| Credential Type | Physician/Surgeon |
| Business Address |
2447 Whitney Ave Ste -1 Hamden CT 06518-3211 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 280739 | CSP.0031090 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2447 WHITNEY AVE STE -1 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Farmer | 2447 Whitney Ave, Hamden, CT 06518-3211 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| William Weber | 2447 Whitney Ave Ste 202, Hamden, CT 06518-3211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nina Konstantinova Md | 2447 Whitney Ave, Hamden, CT 06518-3211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John G Gisondi | 2447 Whitney Ave, Hamden, CT 06518-3211 | Dentist | 2013-10-01 ~ 2014-09-30 |
| James D Condon Dmd | 2447 Whitney Ave, Hamden, CT 06518-3211 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Better Healing LLC | 2447 Whitney Ave, Hamden, CT 06518-3211 | Medical Marijuana Dispensary Facility | ~ |
| Future Care LLC | 2447 Whitney Ave, Hamden, CT 06518-3211 | Medical Marijuana Dispensary Facility | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brij Mohan | P.o. Box 1159, Chicago, IL 60690-1159 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Geetali Mohan | 1335 Oak Hill Ct., Toledo, OH 43614 | Physician/surgeon | 2008-11-28 ~ 2009-04-30 |
| Mohan S Nair | 5212 Katella, Ste 106, Los Alamitos, CA 90720 | Physician/surgeon | 1995-08-07 ~ 1996-05-31 |
| Aparna Mohan | 7808 N Cynthia St, Mcallen, TX 78504-2096 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Vamsi Mohan Pavuluri | 230 Brittany Farms Rd # A, New Britain, CT 06053-1284 | Physician/surgeon | ~ |
| Rama Mohan Takillapati | 20 Sinclair Rd, Shrewsbury, MA 01545-3992 | Physician/surgeon | 2010-12-15 ~ 2011-05-31 |
| Mohan R Nemali | Va Ambulatory Care Center, Columbus, OH 43219 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mohan V Belthur | 2825 Bellafontaine Street, Houston, TX 77025 | Physician/surgeon | 2009-03-30 ~ 2010-05-31 |
| Mohan Govindan Md | 7139 N U S Highway 1, Port St John, FL 32927 | Physician/surgeon | 2005-12-12 ~ 2006-12-31 |
| Mohan A Pillai Md | Windham Neurology Center, Willimantic, CT 06226 | Physician/surgeon | 2005-01-21 ~ 2006-03-31 |
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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).