MUNIS A MATTU (Credential# 564990) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.
MUNIS A MATTU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047408. The credential type is physician/surgeon. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 12609 Walmer Street, Overland Park, KS 66209. The current status is inactive.
| Licensee Name | MUNIS A MATTU |
| Credential ID | 564990 |
| Credential Number | 1.047408 |
| Credential Type | Physician/Surgeon |
| Business Address |
12609 Walmer Street Overland Park KS 66209 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-03-02 |
| Effective Date | 2018-04-01 |
| Expiration Date | 2019-03-31 |
| Refresh Date | 2019-07-04 |
| Street Address | 12609 Walmer Street |
| City | Overland Park |
| State | KS |
| Zip Code | 66209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Jacob Nowack | 12417 Howe Drive, Leawood, KS 66209 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brenda Lynn Johnson | 2204 West 127th St, Leawood, KS 66209 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Kerry L Knott | 12730 State Line Road Suite 100, Leawood, KS 66209 | Architect | 2019-08-01 ~ 2020-07-31 |
| M N Bjeldanes · Black&veatch Cnslt Engrg | 2018 Condolea Dr, Leawood, KS 66209 | Professional Engineer | 1995-01-04 ~ 1996-01-31 |
| Black&veatch Engrs-archs | 2034 Condolea Dr, Leawood, KS 66209 | Professional Engineer | 1989-02-08 ~ 1990-01-31 |
| Lynda L Hoffman | 12625 Howe Dr, Leawood, KS 66209 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Keith A Boyd | 2221 W 121 St, Leawood, KS 66209 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Blake Earl Ellis | 6029 W 124th Ter, Overland Park, KS 66209 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Charles R Page | 12504 Delmar, Leawood, KS 66209 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
| Chandrasekhar Chilappa | 4603 W 122nd Street, Overland Park, KS 66209 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in zip 66209 | |||
| City | Overland Park |
| Zip Code | 66209 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Overland Park |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Please comment or provide details below to improve the information on MUNIS A MATTU.
| 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).