TEJA R KARUKONDA (Credential# 1232192) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
TEJA R KARUKONDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057743. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 263 Farmington Ave, Farmington, CT 06034-4037. The current status is inactive.
| Licensee Name | TEJA R KARUKONDA |
| Credential ID | 1232192 |
| Credential Number | CSP.0057743 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Farmington CT 06034-4037 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2014-07-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488575 | 1.057970-RES | Resident Physician | 2014-07-01 | 2014-07-01 - 2019-06-30 | INACTIVE |
| 848987 | 70.009254 | Emergency Medical Technician | 2008-02-06 | 2009-07-24 - 2011-07-01 | INACTIVE |
| Street Address | 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06034-4037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin P Shea | University Ct. Health Center, Farmington, CT 06034-4037 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Greater Hartford Orthopaedic Education & Research Fdn. | 263 Farmington Ave., Bldg Marb, Fl4, Farmington, CT 06034-4037 | Public Charity | 2013-06-01 ~ 2014-11-30 |
| Nicholas K Sablan | Marb 4th Flr, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard Weinstein Md | Uconn Health Center/orthopedic, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Craig M Rodner Md | 263 Farmington Avenue, Farmington, CT 06034-4037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Scott P Worrell | Uconn Health Center, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Arthur J Pidoriano | 10 Talcott Notch Rd, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 1994-06-21 ~ 1995-12-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| All State Construction Inc · Richard Pare | 449 Cooke Street, Farmington, CT 06034 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Kenneth H Dangman Md | Po Box 672, Farmington, CT 06034 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Judith A Tranchina | 350 Quarry Brook Drive, South Windsor, CT 06034 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Rudolfo A D'angelo | 306 Meadow Road, Farmington, CT 06034 | Notary Public Appointment | 2012-01-01 ~ 2016-04-30 |
| Dianne R Grobe | 31 Diamond Glen, Farmington, CT 06034 | Notary Public Appointment | 1991-09-04 ~ 1996-09-30 |
| Simaan Contracting Inc | P.o.box 946, Farmington, CT 06034 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| J Niman LLC | Po. Box 353, Farmington, CT 06034 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Waldemar Rosario | 175 Scott Swamp Road, Farmington, CT 06034 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Anne O Ward | 54 Ridgewood Rd, Glastonbury, CT 06034 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lance G Baier | Po Box 623, Farmington, CT 06034 | Home Inspector | 2019-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06034 | |||
| City | FARMINGTON |
| Zip Code | 06034 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sri Ram Teja Sathi | 600 W Harvey St Apt A0223, Philadelphia, PA 19144-4329 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Ravi Teja Kodali | 30 Cortland Way, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Casa La Teja | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-11-04 ~ 2008-11-03 |
| Teja N Shariff Cpa | 388 East Main Street, Branford, CT 06405 | Certified Public Accountant Firm Permit | 2018-01-01 ~ |
| Casa La Teja Cencibel Cza 91 Dry Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-03-20 ~ 2002-03-20 |
| Teja Roja Spanish Tempranillo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-11-20 ~ 2016-11-19 |
| Casa La Teja Dry White Wine Airen | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-03-20 ~ 2002-03-20 |
| Casa La Teja Tempranillo Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-03-20 ~ 2002-03-20 |
| 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 |
| Lakshmi Karukonda | 16 Russet Road, Glastonbury, CT 06033 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Please comment or provide details below to improve the information on TEJA R KARUKONDA.
| 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).