AMARNATH POLEPALLE (Credential# 2058733) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2020. The license expiration date date is February 28, 2021. The license status is APPROVED.
AMARNATH POLEPALLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074652. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2020. The expiration date is February 28, 2021. The business address is 9 Mayer Dr, Middletown, NY 10940-3349. The current status is approved.
| Licensee Name | AMARNATH POLEPALLE |
| Credential ID | 2058733 |
| Credential Number | CSP.0074652 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9 Mayer Dr Middletown NY 10940-3349 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-24 |
| Effective Date | 2020-06-24 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2005749 | 1.064930-DO | Physician/Surgeon | 2020-02-26 | 2020-02-26 - 2020-12-31 | ACTIVE |
| Street Address | 9 MAYER DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-3349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arthur Meier | 7 Mayer Dr, Middletown, NY 10940-3349 | Home Improvement Salesperson | 2018-12-13 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deirdre B Darby | 15 Maplewood Drive, Middletown, NY 10940 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Aeneas Kwame Osei | 28 Horseshoe Way, Middletown, NY 10940 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Martin S Nowak | 386 Ingrassia Rd, Middletown, NY 10940 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Azaliah Bithiah Obanyoun | 58 Rose Lane, Middletown, NY 10940 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| John Pisano Jr | 8 Parsons Lane, Middletown, NY 10940 | Repairer of Weighing & Measuring Devices | 2020-01-06 ~ 2020-12-31 |
| Francis J. Bachyrycz Jr | 96 Hill Road, Middletown, NY 10940 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gerard S Hluchan | 211 Wisner Avenue, Middletown, NY 10940 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John D Fellenzer | 22 Mulberry Street, Middletown, NY 10940 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ashley M Williams | 230 Ruth Court, Middletown, NY 10940 | Emergency Medical Technician | 2017-02-07 ~ 2019-12-31 |
| Joseph L Racanelli | 707 East Main St., Middletown, NY 10940 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 10940 | |||
| City | MIDDLETOWN |
| Zip Code | 10940 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suma Amarnath Md | 43 Chestnut St Unit 203, New Haven, CT 06511-5772 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Amarnath R Annapureddy | 176 Shagbark Dr, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on AMARNATH POLEPALLE.
| 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).