KAMAL ADDAGATLA (Credential# 1175664) 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.
KAMAL ADDAGATLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055582. 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 Department of Surgery, Stamford, CT 06902-3628. The current status is lapsed.
| Licensee Name | KAMAL ADDAGATLA |
| Credential ID | 1175664 |
| Credential Number | CSP.0055582 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Department of Surgery Stamford CT 06902-3628 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-07-22 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491304 | 1.059201-RES | Resident Physician | 2013-07-01 | 2013-07-01 - 2018-06-30 | INACTIVE |
| Street Address | Department of Surgery |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sujatha Nilavar Sr | Department of Surgery, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-08-03 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Randall D Grant | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Marcos Valerio | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonia L Green | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John F Ciannella Md | One Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sasha Cobotic | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hebroon Obaid | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dmitry Meyerovich | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arunabha Nandi | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06902-3628 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kamal J Khiani Md | 750 Quinnipiac Ave Apt 3, New Haven, CT 06513-3367 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kamal A Hamed | 16 Pony Lane, Flemington, NJ 08822 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kamal C Shoukri Md | 23 Village View Ln, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Kamal Hannawa | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salma Kamal | 100 Avalon Dr,unit 4203, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suzanne K Kamal · Kamal | 49 Jacks Bridge Rd, Woodbury, CT 06798-2725 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Kamal Limited | 4th Kilometer Jaranwala Rd, Khurrianwala Faisalabad | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Kamal Gadalla | 14 Broome Blvd, Central Nyack, NY 10960 | Professional Engineer | 1994-12-28 ~ 1996-01-31 |
| Kamal Soumari · Soumari's Limousine Services, LLC | 28 Third Street, Unit 21, Ansonia, CT 06401 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2018-04-01 ~ 2020-03-31 |
| 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 |
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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).