INDUKALA DODDAMANE MD (Credential# 561294) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
INDUKALA DODDAMANE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043712. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 415 Gunnar Ct, Cheshire, CT 06410-1991. The current status is active.
| Licensee Name | INDUKALA DODDAMANE MD |
| Credential ID | 561294 |
| Credential Number | 1.043712 |
| Credential Type | Physician/Surgeon |
| Business Address |
415 Gunnar Ct Cheshire CT 06410-1991 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-08-05 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 498567 | CSP.0043300 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 415 GUNNAR CT |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-1991 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan J Moses | 395 Gunnar Ct, Cheshire, CT 06410-1991 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Norback Builders Ct LLC | 383 Gunnar Ct, Cheshire, CT 06410-1991 | Home Improvement Contractor | 2020-01-06 ~ 2020-11-30 |
| Joseph M Kenney | 405 Gunnar Ct, Cheshire, CT 06410-1991 | Engineer-in-training | 2019-07-25 ~ 2029-07-25 |
| Melissa Kenney | 405 Gunnar Ct, Cheshire, CT 06410-1991 | Emergency Medical Technician | 2016-05-26 ~ 2018-09-30 |
| Thomas J Norback · Norback Contractor | 383 Gunnar Ct, Cheshire, CT 06410-1991 | Home Improvement Contractor | 1997-12-01 ~ 1998-07-13 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santosh Doddamane Do | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).