KRISHNA BALACHANDRA
Physician/surgeon


Address: 100 Ridout Street South

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 100 RIDOUT STREET SOUTH

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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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