MAMATHA R GADARLA MD (Credential# 562162) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 27, 2008. The license expiration date date is June 30, 2009. The license status is INACTIVE.
MAMATHA R GADARLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044580. The credential type is physician/surgeon. The effective date is May 27, 2008. The expiration date is June 30, 2009. The business address is 11 B, Hazen Court, Wayne, NJ 07470. The current status is inactive.
| Licensee Name | MAMATHA R GADARLA MD |
| Credential ID | 562162 |
| Credential Number | 1.044580 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 B, Hazen Court Wayne NJ 07470 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-07-13 |
| Effective Date | 2008-05-27 |
| Expiration Date | 2009-06-30 |
| Refresh Date | 2009-11-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 442773 | CSP.0039413 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-07-21 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 11 B, HAZEN COURT |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Ortiz | 1270b Valley Road, Wayne, NJ 07470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Louis A Yorey | 21 Tulip Terr, Wayne, NJ 07470 | Certified General Real Estate Appraiser | 2020-06-03 ~ 2021-04-30 |
| Molly K Wojtusik | 23 Lancaster Ct, Wayne, NJ 07470 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Francisco Chua Patawaran | 5 Oak Hill Drive, Wayne, NJ 07470 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| David Gallaway | 11 Fairview Terrace, Wayne, NJ 07470 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Jennifer Marie Degnan | 15 Osborne Terrace, Wayne, NJ 07470 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Nirali Patel | 18 Woodridge Terrace, Wayne, NJ 07470 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Linda Karalis Corradi | 1413 Alps Road, Wayne, NJ 07470 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael A Semeraro | 2 Warner Way, Wayne, NJ 07470 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Franca Aloia-brown | 80 Mohawk Trail, Wayne, NJ 07470 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 07470 | |||
| City | WAYNE |
| Zip Code | 07470 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WAYNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mamatha Ramesh Gowda | 9 Lafayette Dr, Livingston, NJ 07039-3410 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mamatha Kadiyala | 282 Kinne Road, Glastonbury, CT 06033 | 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 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).