HARI C KANNAM
Physician/surgeon


Address: 1703 Crescent Drive, Tarrytown, NY 10591

HARI C KANNAM (Credential# 563379) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.

Business Overview

HARI C KANNAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045797. The credential type is physician/surgeon. The effective date is October 1, 2007. The expiration date is October 31, 2008. The business address is 1703 Crescent Drive, Tarrytown, NY 10591. The current status is inactive.

Basic Information

Licensee Name HARI C KANNAM
Credential ID 563379
Credential Number 1.045797
Credential Type Physician/Surgeon
Business Address 1703 Crescent Drive
Tarrytown
NY 10591
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-10-01
Effective Date 2007-10-01
Expiration Date 2008-10-31
Refresh Date 2009-07-08

Office Location

Street Address 1703 Crescent Drive
City Tarrytown
State NY
Zip Code 10591

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Emily Riedel 154 Martling Avenue, Tarrytown, NY 10591 Notary Public Appointment 2020-04-01 ~ 2025-03-31
Jennifer N Gilbert 1650 Crescent Drive, Tarrytown, NY 10591 Registered Nurse 2020-03-01 ~ 2021-02-28
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Competitor

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City Tarrytown
Zip Code 10591
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Tarrytown

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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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