MADHAVI GORUSU MD
Controlled Substance Registration for Practitioner


Address: 1260 Silas Deane Highway, Wethersfield, CT 06109

MADHAVI GORUSU MD (Credential# 356144) 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.

Business Overview

MADHAVI GORUSU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034455. 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 1260 Silas Deane Highway, Wethersfield, CT 06109. The current status is active.

Basic Information

Licensee Name MADHAVI GORUSU MD
Credential ID 356144
Credential Number CSP.0034455
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1260 Silas Deane Highway
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-10-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-20

Other licenses

ID Credential Code Credential Type Issue Term Status
560385 1.042803 Physician/Surgeon 2004-09-14 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 1260 SILAS DEANE HIGHWAY
City WETHERSFIELD
State CT
Zip Code 06109

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anthony F Lasala Md 1260 Silas Deane Highway, Wethersfield, CT 06109 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kristen J Walton 1260 Silas Deane Highway, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Tamika Blackburn 1260 Silas Deane Highway, Wethersfield, CT 06109 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Helena C Nolasco 1260 Silas Deane Highway, Wethersfield, CT 06109 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Susan E Dimauro 330 Ridge Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Boccacio 174 Longvue Drive, Wethersfield, CT 06109 Esthetician ~
Steven C Hine 294 Hang Dog Ln, Wethersfield, CT 06109 Architect 2020-08-01 ~ 2021-07-31
Karolina Monika Fitrzyk 41 Mountain Laurel, Wethersfield, CT 06109 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matthew R Dobos 33 Oxford St, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Samantha Grabbe 17 Rockland St, Wethersfield, CT 06109 Registered Nurse 2020-08-01 ~ 2021-07-31
Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Ups Store (the) 1077 Silas Deane Hwy, Wethersfield, CT 06109 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amber H Washington 103 Parkview Drive, Wethersfield, CT 06109 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen A Mullady · Brancati 75 Dale Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06109

Competitor

Search similar business entities

City WETHERSFIELD
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD

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Dataset Information

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).

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