ANIL KUMAR DUDAM (Credential# 999916) is licensed (Pharmacy Technician) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
ANIL KUMAR DUDAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PTN.0013417. The credential type is pharmacy technician. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 1557 Fairfield Ave, Bridgeport, CT 06605-1935. The current status is inactive.
| Licensee Name | ANIL KUMAR DUDAM |
| Credential ID | 999916 |
| Credential Number | PTN.0013417 |
| Credential Type | PHARMACY TECHNICIAN |
| Business Address |
1557 Fairfield Ave Bridgeport CT 06605-1935 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - NOT ELIGIBLE FOR REINSTATEMENT |
| Issue Date | 2011-05-27 |
| Effective Date | 2012-04-01 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2018-08-20 |
| Street Address | 1557 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1935 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Srivaths M Nadadur | 1557 Fairfield Ave, Bridgeport, CT 06605-1935 | Pharmacy Technician | 2011-05-27 ~ 2012-03-31 |
| Kane Drugs Incorporated | 1557 Fairfield Ave, Bridgeport, CT 06605 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2001-07-01 ~ 2002-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Recovery Empowerment Counseling Center | 1549 Fairfield Ave, Bridgeport, CT 06605-1935 | Psychiatric Outpatient Clinic | 2018-04-12 ~ 2022-06-30 |
| Utkarsh Modi | 1407 Fairfield Ave, Bridgeport, CT 06605-1935 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | PHARMACY TECHNICIAN |
| License Type + County | PHARMACY TECHNICIAN + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anil Kumar Mongia | 381 Elm Dr, Roslyn, NY 11576-3045 | Physician/surgeon | ~ |
| Anil Kumar Bhardwaj Md | 29 Pinnacle Mountain Road, Simsbury, CT 06070 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anil Kumar S Reddy Md | 20 Harnish Lane, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1996-04-01 ~ 1997-02-28 |
| Mythri Anil Kumar | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Mythri Anil Kumar | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| S & R Citgo Inc · Anil Kumar | 406 Huntington Tpke, Bridgeport, CT 06610 | Non Legend Drug Permit | 1999-12-14 ~ 1999-12-31 |
| Michael C Anil | 312 Peck Ln, Orange, CT 06477-3318 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Dinesh Kumar Valluru | 543 Clinton Ave, Bridgeport, CT 06605-1702 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Praveen Kumar Bala | 95 Wakelee Ave, Ansonia, CT 06401-1151 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Rupesh Kumar Gundala | 131 Hawley Ave, Bridgeport, CT 06606-5038 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on ANIL KUMAR DUDAM.
| 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).