SIRISHA MANDADI
Controlled Substance Registration for Practitioner


Address: 4627 Cedar Dr, Naperville, IL 60564

SIRISHA MANDADI (Credential# 1055253) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

SIRISHA MANDADI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052096. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 4627 Cedar Dr, Naperville, IL 60564. The current status is lapsed.

Basic Information

Licensee Name SIRISHA MANDADI
Credential ID 1055253
Credential Number CSP.0052096
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4627 Cedar Dr
Naperville
IL 60564
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2012-03-09
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1027253 2.010618 Dentist 2011-08-25 2016-08-01 - 2017-07-31 INACTIVE

Office Location

Street Address 4627 CEDAR DR
City NAPERVILLE
State IL
Zip Code 60564

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Narendra Kumar Garg 1995 Springbrook Square Dr, Naperville, IL 60564 Physician/surgeon 2020-08-01 ~ 2021-07-31
Dinko Petrov 2635 Showplace Dr, Naperville, IL 60564 Registered Nurse 2020-04-01 ~ 2021-03-31
Scott E Newland 2432 Fawn Lake Circle, Naperville, IL 60564 Professional Engineer 2020-02-01 ~ 2021-01-31
Aili C Wachtel 2607 Hoddam Road, Naperville, IL 60564 Professional Counselor 2019-10-01 ~ 2020-09-30
Amena Khan 2619 Boddington Ln, Naperville, IL 60564 Pharmacist 2016-02-01 ~ 2018-01-31
Alicia D Klinko 4323 Winterberry Ave, Naperville, IL 60564 Certified Public Accountant License 2017-01-01 ~ 2017-12-31
Mary O Schuler 4020 White Eagle Dr, Napesville, IL 60564 Real Estate Salesperson 2005-06-01 ~ 2006-05-31
Lisa M Guagliardo 4916 Clearwater Lane, Naperville, IL 60564 Registered Nurse 2014-06-01 ~ 2015-05-31
Jennifer J Wenger-isakson 1286 Meyer Court, Naperville, IL 60564 Licensed Practical Nurse 2012-08-01 ~ 2013-07-31
Jonathan Kent Zeiler 2512 Canfield Court, Naperville, IL 60564 Certified Public Accountant Certificate ~
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Competitor

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City NAPERVILLE
Zip Code 60564
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NAPERVILLE

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Steven Kassels Md · Community Substance Abuse Center Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 Controlled Substance Registration for Practitioner 2018-06-15 ~ 2019-02-28
Shu-i Lin CT Controlled Substance Registration for Practitioner 2017-06-12 ~ 2019-02-28
Huu Duc D Luu 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Hae J Kim Pa New Haven, CT 06511 Controlled Substance Registration for Practitioner 2008-03-31 ~ 2009-02-28
Erin K Fee CT Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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