MALLEESWARI NELLORE (Credential# 1454827) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MALLEESWARI NELLORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057124. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 10275 Little Patuxent Pkwy, Columbia, MD 21044. The current status is active.
| Licensee Name | MALLEESWARI NELLORE |
| Credential ID | 1454827 |
| Credential Number | 1.057124 |
| Credential Type | Physician/Surgeon |
| Business Address |
10275 Little Patuxent Pkwy Columbia MD 21044 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-19 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-09 |
| Street Address | 10275 Little Patuxent Pkwy |
| City | Columbia |
| State | MD |
| Zip Code | 21044 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl D Ansevin | 10275 Little Patuxent Pkwy, Columbia, MD 21044-3638 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Liliana Robles | 10275 Little Patuxent Pkwy, Columbia, MD 21044 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Shawn L. Masia | 10275 Little Patuxent Pkwy, Columbia, MD 21044-3638 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| American Holistic Veterinary Medical Association Foundation | C/o Thomas Meachum, Esq, Columbia, MD 21044 | Public Charity | 2020-05-01 ~ 2021-04-30 |
| Lorena C Salas | 6000 Merriweather Drive, Columbia, MD 21044 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Sonia Nagesh Krish | 10275 Little Patuxent Parkway, Columbia, MD 21044 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anne Marie Guyot | 10420 Little Patuxent Parkway, Columbia, MD 21044 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yessar M Hussain | 10275 Little Patuxent Pkwy Ste 300, Columbia, MD 21044 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ashley Boyle | 5339 Columbia Road, Columbia, MD 21044 | Behavior Analyst | 2019-09-01 ~ 2020-08-31 |
| Tina C Mccalla | 10850 Green Mountain Cir, Columbia, MD 21044 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Thomas E Conley | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Frank W Ziegler | 10968 Harmel Dr, Columbia, MD 21044 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Madeline P Filderman | 5108 Jericho Road, Columbia, MD 21044 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Find all Licenses in zip 21044 | |||
| City | Columbia |
| Zip Code | 21044 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Columbia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).