JAYASREE TATAGARI (Credential# 1121111) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 13, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
JAYASREE TATAGARI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051478. The credential type is physician/surgeon. The effective date is November 13, 2012. The expiration date is March 31, 2013. The business address is 908 Christian Ct, Niskayuna, NY 12309-3543. The current status is inactive.
| Licensee Name | JAYASREE TATAGARI |
| Credential ID | 1121111 |
| Credential Number | 1.051478 |
| Credential Type | Physician/Surgeon |
| Business Address |
908 Christian Ct Niskayuna NY 12309-3543 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-11-13 |
| Effective Date | 2012-11-13 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2013-07-03 |
| Street Address | 908 CHRISTIAN CT |
| City | NISKAYUNA |
| State | NY |
| Zip Code | 12309-3543 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vascular Birthmarks Foundation, Inc. | 2301 Green Farms Road, Niskayuna, NY 12309 | Public Charity | 2020-06-16 ~ 2021-11-30 |
| Julissa Taveras | 2472 Brookshire Drive, Niskayuna, NY 12309 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica L Hurta | 23 Glenmore Dr, Schenectady, NY 12309 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Daniel Hom | 1341 Wemple Lane, Niskayuna, NY 12309 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Dorothy S Osvald | 1138 Hendrickson Av, Schenectady, NY 12309 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Sandra Joy Lane | 1161 Tracy Ave, Schenectady, NY 12309 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Joseph M Lanaro | 33 Oakmont St, Niskayuna, NY 12309 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Edward M Leighton | 37 Alva Rd, Niskayuna, NY 12309 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James T Honda | 1102 Mohawk Rd, Niskayuna, NY 12309 | Engineer-in-training | 2009-11-17 ~ 2019-11-17 |
| Maureen Patricia Kniskern | 1039 Mohawk Rd., Niskayuna, NY 12309 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 12309 | |||
| City | NISKAYUNA |
| Zip Code | 12309 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NISKAYUNA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayasree M Reddi Md | 165 State St, New London, CT 06320 | Physician/surgeon | 1997-03-10 ~ 1998-04-30 |
| Jayasree Dokku | 517 Avenel St, Avenel, NJ 07001 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).