SANTOSH K MUKKA
Physician/surgeon


Address: 2185 Hone Ave Apt 1a, Bronx, NY 10461-1240

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 2185 HONE AVE APT 1A
City BRONX
State NY
Zip Code 10461-1240

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City BRONX
Zip Code 10461
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRONX

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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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