KALYAN KUMAR PUNDLA (Credential# 2044460) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 13, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KALYAN KUMAR PUNDLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074001. The credential type is controlled substance registration for practitioner. The effective date is May 13, 2020. The expiration date is February 28, 2021. The business address is 101 Tanglewood Dr, Longmeadow, MA 01106-1650. The current status is active.
| Licensee Name | KALYAN KUMAR PUNDLA |
| Credential ID | 2044460 |
| Credential Number | CSP.0074001 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 Tanglewood Dr Longmeadow MA 01106-1650 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-13 |
| Effective Date | 2020-05-13 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-05-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2012542 | 1.065199 | Physician/Surgeon | 2020-04-13 | 2020-04-13 - 2021-01-31 | ACTIVE |
| Street Address | 101 TANGLEWOOD DR |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1650 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Swirsky Md | 145 Tanglewood Dr, Longmeadow, MA 01106-1650 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kalyan Katta | 101 Washington Blvd Unit 1011, Stamford, CT 06902-6889 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anupam Kumar | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Neil S Kumar | 413 S 9th St Apt D, Philadelphia, PA 19147-1335 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aswini Kumar | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ashish Kumar | 440 Meriden Rd Apt 411, Waterbury, CT 06705-2252 | Controlled Substance Registration for Practitioner | 2009-03-06 ~ 2011-02-28 |
| Vivek Kumar | 40 Prospect Ave Apt 3m, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2011-02-03 ~ 2013-02-28 |
| Bhavya Kumar | 92 Kaye Vue Dr Apt A, Hamden, CT 06514-2373 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mandeep Kumar | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neelja D Kumar | 53-44 Oceania St, Bayside, NY 11364-1740 | Controlled Substance Registration for Practitioner | 2012-08-21 ~ 2013-02-28 |
| Kumar Kalaptapu Md | 365 Glendale Ave Apt B4, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 1994-08-10 ~ 1995-12-01 |
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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).