KRISHNA BALACHANDRA (Credential# 560101) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 26, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.
KRISHNA BALACHANDRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042519. The credential type is physician/surgeon. The effective date is August 26, 2004. The expiration date is September 30, 2005. The business address is 100 Ridout Street South. The current status is inactive.
Licensee Name | KRISHNA BALACHANDRA |
Credential ID | 560101 |
Credential Number | 1.042519 |
Credential Type | Physician/Surgeon |
Business Address | 100 Ridout Street South |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-06-04 |
Effective Date | 2004-08-26 |
Expiration Date | 2005-09-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
377135 | CSP.0035491 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-13 | 2004-08-13 - 2005-02-28 | INACTIVE |
Street Address | 100 RIDOUT STREET SOUTH |
License Type | Physician/Surgeon |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Krishna Sury | 140 Hollywood Ave, Little Neck, NY 11363-1110 | Physician/surgeon | 2018-04-11 ~ 2019-10-31 |
Krishna Priya M Raju Md | 15 Corporate Dr, Trumbull, CT 06611 | Physician/surgeon | 2003-11-21 ~ 2004-11-30 |
Krishna S Gunturu | 5 Hamlett Drive, #21, Nashua, NH 03062 | Physician/surgeon | 2008-10-24 ~ 2009-09-30 |
Kanthi Bangalore-krishna | 211 Hallmark S, Hershey, PA 17033-2336 | Physician/surgeon | 2010-09-09 ~ 2011-04-30 |
Krishna P Murthy | 119-49 Union Tpke, New York, NY 11375 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
Krishna Devulapalli | 22502 Mansion Court, Novi, MI 48375 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
Krishna Sowjanya Yarlagadda | 3336 Fairfield Ave Apt 304, Bridgeport, CT 06605-3288 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
Krishna Dummula | 10001 W 116th Terrace Apt 8, Overland Park, KS 66210 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Krishna Arts | G 1015 To 1016 Phase 111, Jaipur Rajasthan, I2 302022 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Please comment or provide details below to improve the information on KRISHNA BALACHANDRA.
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).