ANUSHA RAJA (Credential# 1657215) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANUSHA RAJA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063151-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 33 Sylvan Ave Apt 610, New Haven, CT 06519-1060. The current status is active.
Licensee Name | ANUSHA RAJA |
Credential ID | 1657215 |
Credential Number | 1.063151-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
33 Sylvan Ave Apt 610 New Haven CT 06519-1060 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-11 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1658185 | CSP.0071048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-17 | 2019-05-17 - 2021-02-28 | ACTIVE |
Street Address | 33 SYLVAN AVE APT 610 |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1060 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tiffany Johnson | 33 Sylvan Ave Apt 801, New Haven, CT 06519-1060 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
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 | Resident Physician |
License Type + County | Resident Physician + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anusha Sundararajan | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Junaid Raja | 19 Howard Ave, Southington, CT 06489 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Anusha Vaddi | 263 Farmington Avenue, Farmington, CT 06030 | Resident Dentist | 2019-07-01 ~ 2022-06-30 |
Raja Fattaleh | 353 Pomfret St, Putnam, CT 06260-1835 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Raja T Mallavarapu | 2 Oxford Lane, Harriman, NY 10926 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
Raja Bobba | 386 Scenic Drive, Hamilton, Ontario, L9C7A7 | Physician/surgeon | 2008-11-17 ~ 2009-10-31 |
Vice Rei Ponche Raja | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-12-16 ~ 2004-12-15 |
Anusha Balakrishnan | 167 Old Kings Hwy S, Darien, CT 06820-5904 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
Anusha Gona | 1610 Fairfield Ave # G-9, Bridgeport, CT 06605-1960 | Pharmacy Technician | 2017-05-02 ~ 2018-03-31 |
Anusha Basnet | 16 Regency Drive, West Hartford, CT 06110 | Emergency Medical Technician | ~ |
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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).