SANTOSH K MUKKA (Credential# 1224085) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SANTOSH K MUKKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053236. The credential type is physician/surgeon. The effective date is June 30, 2014. The expiration date is February 28, 2015. The business address is 2185 Hone Ave Apt 1a, Bronx, NY 10461-1240. The current status is inactive.
Licensee Name | SANTOSH K MUKKA |
Credential ID | 1224085 |
Credential Number | 1.053236 |
Credential Type | Physician/Surgeon |
Business Address |
2185 Hone Ave Apt 1a Bronx NY 10461-1240 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-06-30 |
Effective Date | 2014-06-30 |
Expiration Date | 2015-02-28 |
Refresh Date | 2015-06-03 |
Street Address | 2185 HONE AVE APT 1A |
City | BRONX |
State | NY |
Zip Code | 10461-1240 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jae Hong Kim | 2119 Colonial Ave., Bronx, NY 10461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kristy M Marmorato | 1242 Rhinelander Ave, Bronx, NY 10461 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Peter M Frisolone | 2526 Maclay Avenue, Bronx, NY 10461 | Embalmer | 2020-08-01 ~ 2021-07-31 |
Sherin Zaman | 2049 Saint Paul Ave, Bronx, NY 10461 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Johanna Berberena | 1138 Edison Avenue, Bronx, NY 10461 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
Ellie E Martinez | 2820 Middletown Rd, Bronx, NY 10461 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
Christopher Morea | 2964 Middletown Road, Bronx, NY 10461 | Tax Preparer/facilitator Permit | 2020-03-02 ~ 2022-03-31 |
Rakesh Raju Mahali | 1150 Pelham Parkway S Apt # 3e, Bronx, NY 10461 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Yogangi Malhotra | 1400 Pelham Pkwy S, Bronx, NY 10461 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Juan Carlos Perez | 2863 Dudley Ave, Bronx, NY 10461 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10461 |
City | BRONX |
Zip Code | 10461 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRONX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Santosh S Puri | 21 Bittersweet La, Wilbraham, MA 01095 | Physician/surgeon | 1995-06-27 ~ 1996-06-30 |
Santosh B Reddy | 1212 Savannah Rd, Lewis, DE 19958 | Physician/surgeon | 1981-01-01 ~ 1993-03-31 |
Santosh Doddamane Do | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Santosh D Vaghela | 32 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Santosh Swaminathan | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Santosh K Saha | 3417 Van Wie Dr E, Baldwinsville, NY 13027-8911 | Professional Engineer | 1989-04-19 ~ 1990-01-31 |
Santosh Mahat | 15 Canterbury Rd Apt D19, Great Neck, NY 11021-2604 | Professional Engineer | ~ |
Santosh Raj Sharma | 530 1st Ave Ste 4j, New York, NY 10016-6402 | Controlled Substance Registration for Practitioner | 2019-05-24 ~ 2021-02-28 |
Santosh Gavva | 25 Science Park, New Haven, CT 06511 | Asbestos Consultant-inspector | 1995-08-29 ~ 1996-10-31 |
Santosh Saini Dds | 600 Asylum Ave Apt #616, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2003-02-13 ~ 2004-02-28 |
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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).