SRINIVAS R. MANDALA DDS (Credential# 935838) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
SRINIVAS R. MANDALA DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010274. The credential type is dentist. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 611 Madison Place, Shrewsbury, MA 01545. The current status is inactive.
Licensee Name | SRINIVAS R. MANDALA DDS |
Credential ID | 935838 |
Credential Number | 2.010274 |
Credential Type | Dentist |
Business Address |
611 Madison Place Shrewsbury MA 01545 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-06-21 |
Effective Date | 2016-06-01 |
Expiration Date | 2017-05-31 |
Refresh Date | 2017-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
937908 | CSP.0047866 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-01 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 611 MADISON PLACE |
City | SHREWSBURY |
State | MA |
Zip Code | 01545 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven C Jennette | 19 Rockwell Drive, Shrewsbury, MA 01545 | Architect | 2020-08-01 ~ 2021-07-31 |
Traci L Magliozzi · Testa | 103 Stoney Hill Rd, Shrewsbury, MA 01545 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Geetanjali Virmani | 31 Hawthorne Road, Shrewsbury, MA 01545 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Sara M Jaszczur | 11 Turtle Creek Circle, Shrewsbury, MA 01545 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Michelle R Stumm | 9 Sycamore Road, Shrewsbury, MA 01545 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Mireya Wessolossky | 9 Old Farm Circle, Shrewsbury, MA 01545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Esther Kinuthia | Po Box 4436, Shrewsbury, MA 01545 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Pooja Laxminarayan Jangid | 16 Thestland Dr., Shrewsbury, MA 01545 | Physical Therapist | ~ |
Laura A Ames | 9 Chartwell Circle, Shrewsbury, MA 01545 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
Grisham M Bryan | 30 Stonybrook Lane, Shrewsbury, MA 01545 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Find all Licenses in zip 01545 |
City | SHREWSBURY |
Zip Code | 01545 |
License Type | Dentist |
License Type + County | Dentist + SHREWSBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Az Stronghold Mandala Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-10-11 ~ 2014-10-10 |
Az Stronghold Mandala White | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-10-11 ~ 2014-10-10 |
Pritam Basnet · Mandala Bistro | 25 Temple St, New Haven, CT 06510-2714 | Restaurant Liquor | 2010-03-01 ~ 2011-02-28 |
Srinivas B Rapuri | Lexington, KY 40513 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Srinivas Velesetty | 2491 Sawmill Rd, Santa Fe, NM 87505 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
Srinivas Rathnam | 600 Creekside Cir Apt 103, Auburn Hills, MI 48326-4517 | Pharmacist | ~ |
Srinivas Manda | 640 Mix Avenue #1h, Hamden, CT 06514 | Engineer-in-training | 1996-01-16 ~ 2006-01-16 |
Srinivas H. Reddy | 111 Wheatley Rd, Old Westbury, NY 11568-1210 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Srinivas Seela Md | 261 Blake Road, Hamden, CT 06517 | Physician/surgeon | 2005-03-16 ~ 2006-05-31 |
Srinivas R Kuchikulla | 111 Hope St # 2, Stamford, CT 06906-2505 | Real Estate Salesperson | ~ |
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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).