ALEXANDER K MULAMULA MD (Credential# 564177) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.
ALEXANDER K MULAMULA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046595. The credential type is physician/surgeon. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 40 Prospect Ave, Norwalk, CT 06850. The current status is inactive.
Licensee Name | ALEXANDER K MULAMULA MD |
Credential ID | 564177 |
Credential Number | 1.046595 |
Credential Type | Physician/Surgeon |
Business Address |
40 Prospect Ave Norwalk CT 06850 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-06-03 |
Effective Date | 2012-07-01 |
Expiration Date | 2013-06-30 |
Refresh Date | 2013-10-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
893784 | CSP.0046459 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-11 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 40 Prospect Ave |
City | Norwalk |
State | CT |
Zip Code | 06850 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Allan A Lambkin | 40 Prospect Ave, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
Astha Tejpal | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Rekha M Reddy | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Sivraj Muralikrishnan | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Daniel Wallace Dahl | 40 Prospect Ave, Norwalk, CT 06850 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Molly S Van Dams | 40 Prospect Ave, Norwalk, CT 06850 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
Brienne M Chow | 40 Prospect Ave, Norwalk, CT 06850 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
Kylie Tanabe | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
Prakriti S Merchant | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Adrienne Berkowitz | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06850 |
City | Norwalk |
Zip Code | 06850 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Norwalk |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
Alexander Young | Po Box 141, Hawleyville, CT 06440 | Physician/surgeon | 1995-11-30 ~ 1996-11-30 |
Alexander F Au | 16 Franklin's Way, Guilford, CT 06437 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Alexander J Fortier Md | 505 Willard Ave Ste 2b, Newington, CT 06111 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Alexander Burn | 30 Cobblestone Ln, Meriden, CT 06450-6734 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Alexander Bayer | 26 Brookside Rd, New Britain, CT 06052 | Physician/surgeon | 1995-05-22 ~ 1996-06-30 |
Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
Charles P Alexander Md | 107 John St, Southport, CT 06890-1466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Alexander Demidenko | 68 Myrtle St Apt 3, Boston, MA 02114-4816 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Martin M Alexander | 157 Stanwich Rd., Greenwich, CT 06830 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
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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).