ANISHA MANDAVA
Physician/surgeon


Address: University of Connecticut, Farmington, CT 06030

ANISHA MANDAVA (Credential# 564681) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.

Business Overview

ANISHA MANDAVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047099. The credential type is physician/surgeon. The effective date is June 1, 2009. The expiration date is June 30, 2010. The business address is University of Connecticut, Farmington, CT 06030. The current status is inactive.

Basic Information

Licensee Name ANISHA MANDAVA
Credential ID 564681
Credential Number 1.047099
Credential Type Physician/Surgeon
Business Address University of Connecticut
Farmington
CT 06030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-10-20
Effective Date 2009-06-01
Expiration Date 2010-06-30
Refresh Date 2010-10-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1042583 CSP.0051726 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - EXPIRED APPLICATION

Office Location

Street Address UNIVERSITY OF CONNECTICUT
City FARMINGTON
State CT
Zip Code 06030

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jennifer M Wolf Md University of Connecticut, Farmington, CT 06030-0001 Physician/surgeon 2016-07-01 ~ 2017-06-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shobhana Pathani Department of Medicine, 263 Farmington Ave, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
Find all Licenses in zip 06030

Competitor

Search similar business entities

City FARMINGTON
Zip Code 06030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Anisha Mandava Md 2 Park Pl Apt 11d, Hartford, CT 06106-5012 Controlled Substance Registration for Practitioner 2009-06-30 ~ 2011-02-28
Suresh Mandava 2046 W. Main St. Ste 2, Stamford, CT 06902 Physician/surgeon 2020-07-01 ~ 2021-06-30
Anisha A Jangi Md 69 Sand Pit Rd Ste 101, Danbury, CT 06810-4004 Physician/surgeon 2020-04-01 ~ 2021-03-31
Anisha D Patel Md 966 Green Cir, Orange, CT 06477-1736 Physician/surgeon 2020-04-01 ~ 2021-03-31
Sobha Mandava Cpa PC 10 Muirfield Blvd, Monroe Township, NJ 08831 Certified Public Accountant Firm Permit 2004-01-01 ~ 2004-12-31
Anisha Mistry 111 Ledgewood Rd Apt 303, Groton, CT 06340-6603 Physician Assistant 2020-05-01 ~ 2021-04-30
Anisha Garg 20 York Street, New Haven, CT 06510 Resident Physician 2020-07-01 ~ 2021-06-30
Anitha Rao Mandava 174 Providence Ln., Lansdale, PA 19446 Pharmacist 2012-02-14 ~ 2014-01-31
Ratnakar R Mandava Dds 95 Higgins Rd, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sobha R Mandava 10 Muirfield Blvd, Monroe Township, NJ 08831 Certified Public Accountant License 2004-01-01 ~ 2004-12-31

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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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