SUMAN KONDRAGUNTA
Dentist


Address: 2601 N Kentucky Ave Apt 24, Roswell, NM 88201-5865

SUMAN KONDRAGUNTA (Credential# 1086867) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 27, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.

Business Overview

SUMAN KONDRAGUNTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010857. The credential type is dentist. The effective date is August 27, 2012. The expiration date is May 31, 2013. The business address is 2601 N Kentucky Ave Apt 24, Roswell, NM 88201-5865. The current status is inactive.

Basic Information

Licensee Name SUMAN KONDRAGUNTA
Credential ID 1086867
Credential Number 2.010857
Credential Type Dentist
Business Address 2601 N Kentucky Ave Apt 24
Roswell
NM 88201-5865
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-27
Effective Date 2012-08-27
Expiration Date 2013-05-31
Refresh Date 2013-09-05

Office Location

Street Address 2601 N KENTUCKY AVE APT 24
City ROSWELL
State NM
Zip Code 88201-5865

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pauline B Harris 317 Ave E, Roswell, NM 88201 Hairdresser/cosmetician 2019-03-01 ~ 2021-02-28
Adil M Choudhary Md · Heather Ridge Condos 5 Victoria Court, Roswell, NM 88201 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Reyna E Hernandez 505 South Aspen, Roswell, NM 88201 Engineer-in-training ~
Laura S Greci M.d. 7 Victoria Ct, Roswell, NM 88201 Physician/surgeon 2002-04-09 ~ 2003-04-30
Christi Wentland 2800 W Bland, Roswell, NM 88201 Occupational Therapist 1981-01-01 ~ 1995-07-31
Timothy J Carroll 407 Park Drive, Roswell, NM 88201 Physical Therapist ~ 1999-09-30
Wataru Tamura 303 West Country, Roswell, NM 88201 Physician/surgeon 1998-05-04 ~ 1999-04-30
Roberto A Varela 2800 Princeton Drive, Roswell, NM 88201 Registered Nurse 1997-01-31 ~ 1998-03-31
Shams Tabrez Md 12 Berrendo Meadows, Roswell, NM 88201 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
Robert J Chevett 81 Fitzgerald Pl, Roswell, NM 88201 Heating, Piping & Cooling Limited Contractor ~
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Competitor

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City ROSWELL
Zip Code 88201
License Type Dentist
License Type + County Dentist + ROSWELL

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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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