KRISHNA PRIYA M RAJU MD (Credential# 557362) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 21, 2003. The license expiration date date is November 30, 2004. The license status is INACTIVE.
KRISHNA PRIYA M RAJU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039778. The credential type is physician/surgeon. The effective date is November 21, 2003. The expiration date is November 30, 2004. The business address is 15 Corporate Dr, Trumbull, CT 06611. The current status is inactive.
| Licensee Name | KRISHNA PRIYA M RAJU MD |
| Credential ID | 557362 |
| Credential Number | 1.039778 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Corporate Dr Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-08-01 |
| Effective Date | 2003-11-21 |
| Expiration Date | 2004-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 283890 | CSP.0031289 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 15 CORPORATE DR |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nimrod E Dayan Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sonja A Vindheim | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michele R Even | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert D Chessin Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John-paul Ayala Md | 15 Corporate Dr, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea B Hagani Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles A Woods | 15 Corporate Dr, Trumbull, CT 06611-1351 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Katherine P Hendra Md | 15 Corporate Dr, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krishna Priya Thota | 6900 Preston Rd Apt 2125, Plano, TX 75024-2533 | Pharmacy Intern | 2014-03-04 ~ 2015-03-31 |
| Raju Sarwal | 601 Suffolk Ave, Brentwood, NY 11717-4309 | Physician/surgeon | ~ |
| Niranjana Raju | 930 Park Dr, Ste Genevieve, MO 63670 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Jhansi R Raju | 829 Heath Lane, Westmont, IL 60559 | Physician/surgeon | 2004-04-26 ~ 2005-05-31 |
| Robin D Raju | 1 Long Wharf Dr, New Haven, CT 06511-5991 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Veena B Raju | 46 Brittany Farms Rd, New Britain, CT 06053 | Physician/surgeon | ~ 1998-09-30 |
| Srinivas M Raju Md | 6 Robert Treat Drive, Milford, CT 06460 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
| Rakesh Raju Mahali | 1150 Pelham Parkway S Apt # 3e, Bronx, NY 10461 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Priya P Roy Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Priya Rastogi Md | 6 Kimberly Dr, Huntington, CT 06484-5773 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
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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).