SIRISHA SANAMANDRA (Credential# 1495253) 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 ACTIVE.
SIRISHA SANAMANDRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067515. 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 800 Howard Ave Ste Lowrlevel, New Haven, CT 06519-1369. The current status is active.
Licensee Name | SIRISHA SANAMANDRA |
Credential ID | 1495253 |
Credential Number | CSP.0067515 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
800 Howard Ave Ste Lowrlevel New Haven CT 06519-1369 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-02-28 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1224939 | 1.053495 | Physician/Surgeon | 2014-09-02 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 800 HOWARD AVE STE LOWRLEVEL |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1369 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Emmanuel Gutierrez | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Lee E Rubin | 800 Howard Ave, New Haven, CT 06519-1369 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Shailja Mehta | 800 Howard Ave Fl 3, New Haven, CT 06519-1369 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Daniel R Cooperman | 47 Congress Avenue, New Haven, CT 06519-1369 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Franklin C Brown | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | Psychologist | 2020-03-01 ~ 2021-02-28 |
Christopher Fa Benjamin | 800 Howard Ave # Ll, New Haven, CT 06519-1369 | Psychologist | 2019-10-01 ~ 2020-09-30 |
Walgreens #13945 | 800 Howard Ave Ste 197, New Haven, CT 06519-1369 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
Nikita Vijayta Kohli | 800 Howard Ave Fl 4, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-07-03 ~ 2021-02-28 |
Navid Pourtaheri | 800 Howard Ave # 2, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
P Christopher H Gottschalk | Ypb Lower Level, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06519-1369 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
Find all Licenses in zip 06519 |
City | NEW HAVEN |
Zip Code | 06519 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sirisha A Rao | 152 Temple St Apt 505, New Haven, CT 06510-2612 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
Sirisha Guthikonda | 850 Straits Tpke, Middlebury, CT 06762-2843 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Sirisha Mandadi | 4627 Cedar Dr, Naperville, IL 60564 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).