VIJAYA AJJAGOTTU MD (Credential# 558617) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
VIJAYA AJJAGOTTU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041034. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 251 Trinity Ave, Glastonbury, CT 06033-1339. The current status is active.
Licensee Name | VIJAYA AJJAGOTTU MD |
Credential ID | 558617 |
Credential Number | 1.041034 |
Credential Type | Physician/Surgeon |
Business Address |
251 Trinity Ave Glastonbury CT 06033-1339 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-12-30 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
339288 | CSP.0033500 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-05-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 251 TRINITY AVE |
City | GLASTONBURY |
State | CT |
Zip Code | 06033-1339 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole E Williams | 219 Trinity Ave, Glastonbury, CT 06033-1339 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
Kavita S Namjoshi Md | 263 Trinity Ave, Glastonbury, CT 06033-1339 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06033 |
City | GLASTONBURY |
Zip Code | 06033 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GLASTONBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vijaya Thekkeurumbil | 8 Whitewood Road, Newtown, CT 06470 | Physician/surgeon | 1998-07-07 ~ 1999-07-31 |
Vijaya V Padala | 3 Fernwood Court, Holmdel, NJ 07733 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
Vijaya V Bapat | 206 Trafalgar Lane, Cary, NC 27513 | Physician/surgeon | 1994-10-28 ~ 1995-10-31 |
Vijaya L Babu | 25th St & 1st Avenue, New York, NY 10010 | Physician/surgeon | ~ 1996-11-30 |
Vijaya S Sukumar | 23 Foxwood Rd, West Nyack, NY 10994-2505 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Vijaya L Upadrasta Md | 81 Robert Treat Drive-apt.#c, Milford, CT 06460 | Physician/surgeon | 2003-08-15 ~ 2004-08-31 |
Vijaya K Sikand | 41 Heritage Road, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Vijaya L Vellanki | 7250 Perkins Road, Baton Rouge, LA 70808 | Physician/surgeon | 2008-03-06 ~ 2008-10-31 |
Vijaya K Agarwala | 100 Manchester Rd, Swinton Manchester, M27 1FQ | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
Vijaya Sekhara Reddy Foundation Inc. | 2 Briar Lane, New Milford, CT 06776 | Public Charity-exempt From Financial Requirements | ~ |
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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).