SRINIVASA REDDY MD
Controlled Substance Registration for Practitioner


Address: Wcnc Housing Box 614, Valhalla, NY 10595

SRINIVASA REDDY MD (Credential# 48280) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

SRINIVASA REDDY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025043. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is Wcnc Housing Box 614, Valhalla, NY 10595. The current status is inactive.

Basic Information

Licensee Name SRINIVASA REDDY MD
Credential ID 48280
Credential Number CSP.0025043
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Wcnc Housing Box 614
Valhalla
NY 10595
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553267 1.035674 Physician/Surgeon 1996-11-01 1997-11-10 - 1998-11-30 INACTIVE

Office Location

Street Address WCNC HOUSING BOX 614
City VALHALLA
State NY
Zip Code 10595

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Competitor

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City VALHALLA
Zip Code 10595
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALHALLA

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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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