KUMUDHINI FERNANDO (Credential# 542068) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
KUMUDHINI FERNANDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016797. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 46 Grouse Ln, Woodbridge, CT 06525-1451. The current status is inactive.
| Licensee Name | KUMUDHINI FERNANDO |
| Credential ID | 542068 |
| Credential Number | 1.016797 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Grouse Ln Woodbridge CT 06525-1451 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1974-07-26 |
| Effective Date | 2018-09-01 |
| Expiration Date | 2019-08-31 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156742 | CSP.0014689 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 46 GROUSE LN |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-1451 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mayleen Li | 56 Grouse Ln, Woodbridge, CT 06525-1451 | Real Estate Salesperson | 2019-03-11 ~ 2020-05-31 |
| Arvind K Gupta Md | 36 Grouse Ln, Woodbridge, CT 06525-1451 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Elaine M Lettick | 18 Grouse Ln, Woodbridge, CT 06525-1451 | Emergency Medical Technician | 2014-09-08 ~ 2017-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando Losada | Po Box 155, Sharon, CT 06069 | Physician/surgeon | 2004-03-30 ~ 2005-03-31 |
| Fernando Mejia | Box 508, Norwich, CT 06360 | Physician/surgeon | 1995-05-26 ~ 1996-06-30 |
| Fernando R Diaz | 14171 Valentine Trl, Largo, FL 33774-2834 | Physician/surgeon | ~ |
| Fernando Sanchez Md | 1 Washington Sq, New Britain, CT 06051 | Physician/surgeon | 1998-01-13 ~ 1999-02-28 |
| Fernando J. Martinez | 300 Cedar St # Tacs441, New Haven, CT 06519-1612 | Physician/surgeon | ~ |
| Sanjay Fernando Md | 1 Herald Sq, New Britain, CT 06051-5006 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Fernando Afonso Md | 5 Wisteria Ln, Oxford, CT 06478 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Fernando E Ottino | 40 Prospect Ave., Norwalk, CT 06850 | Physician/surgeon | 2009-06-19 ~ 2009-11-30 |
| Lionel W Fernando | 1601 Brenner Ave, Salisbury, NC 28144 | Physician/surgeon | ~ 1983-03-31 |
| Benedict L. L Fernando Md | 687 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).