MALAYGIRI J APARNATH MD
Physician/surgeon


Address: 14 John Olds Dr Apt E, Manchester, CT 06042

MALAYGIRI J APARNATH MD (Credential# 563392) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

MALAYGIRI J APARNATH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045810. The credential type is physician/surgeon. The effective date is October 15, 2008. The expiration date is October 31, 2009. The business address is 14 John Olds Dr Apt E, Manchester, CT 06042. The current status is inactive.

Basic Information

Licensee Name MALAYGIRI J APARNATH MD
Credential ID 563392
Credential Number 1.045810
Credential Type Physician/Surgeon
Business Address 14 John Olds Dr Apt E
Manchester
CT 06042
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-08-29
Effective Date 2008-10-15
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Other licenses

ID Credential Code Credential Type Issue Term Status
487004 CSP.0042815 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-10-31 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 14 JOHN OLDS DR APT E
City MANCHESTER
State CT
Zip Code 06042

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Jordan M Kaiser 40 Tanner St, Manchester, CT 06042 Registered Nurse 2020-06-01 ~ 2021-05-31
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James Power 16 Lawton Rd., Manchester, CT 06042 Medication Administration Certification 2018-08-03 ~ 2020-08-02
Tierra Amerson 66 Phelps Rd., Manchester, CT 06042 Medication Administration Certification 2018-07-02 ~ 2020-07-01
Lisa A Surdam 22 Greenwood Drive, Manchester, CT 06042 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City MANCHESTER
Zip Code 06042
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MANCHESTER

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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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