SRIRAM V MYNENI (Credential# 1003673) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SRIRAM V MYNENI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010590. The credential type is dentist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 935 Main St. # B2, Manchester, CT 06040. The current status is active.
Licensee Name | SRIRAM V MYNENI |
Credential ID | 1003673 |
Credential Number | 2.010590 |
Credential Type | Dentist |
Business Address |
935 Main St. # B2 Manchester CT 06040 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-07-20 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1029680 | CSP.0051250 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 935 Main St. # B2 |
City | Manchester |
State | CT |
Zip Code | 06040 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06040 |
City | Manchester |
Zip Code | 06040 |
License Type | Dentist |
License Type + County | Dentist + Manchester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Swati Sriram | 107 Old Kings Hwy S, Darien, CT 06820-5409 | Emergency Medical Responder | 2019-01-23 ~ 2021-12-31 |
Sriram Sankaranarayanan | 1717 N Bayshore Dr #1957, Miami, FL 33132-1180 | Controlled Substance Registration for Practitioner | 2019-02-25 ~ 2021-02-28 |
Sriram Singaravelu | 6406 Tree Summit Pkwy, Duluth, GA 30096-8081 | Off Track Betting Facility Employee | 2014-02-21 ~ 2014-12-31 |
Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
Narinderjit Mahal | CT | Dentist | ~ |
Priscila M Guzman | CT | Dentist | ~ |
Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
Rodherick Hu | 208 Muscovy Ct, Roseville, CA 95747-4646 | Dentist | ~ |
Shannika T Dao | Po Box 163, Canby, CA 96015-0163 | Dentist | 2016-09-01 ~ 2017-08-31 |
Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
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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).