RUPA CHENNAMANENI
Physician/surgeon


Address: 301 Nw 11th, Fairfield, IL 62837

RUPA CHENNAMANENI (Credential# 542907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 25, 2001. The license expiration date date is October 31, 2002. The license status is INACTIVE.

Business Overview

RUPA CHENNAMANENI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018900. The credential type is physician/surgeon. The effective date is September 25, 2001. The expiration date is October 31, 2002. The business address is 301 Nw 11th, Fairfield, IL 62837. The current status is inactive.

Basic Information

Licensee Name RUPA CHENNAMANENI
Credential ID 542907
Credential Number 1.018900
Credential Type Physician/Surgeon
Business Address 301 Nw 11th
Fairfield
IL 62837
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-10-13
Effective Date 2001-09-25
Expiration Date 2002-10-31
Refresh Date 2009-07-08

Office Location

Street Address 301 NW 11TH
City FAIRFIELD
State IL
Zip Code 62837

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Alexander M Testani 77 Winoca Rd, Fairfield, CT 06825 Emergency Medical Technician 2020-06-26 ~ 2022-03-31
Fairfield American Little League 87 Charles St, Fairfield, CT 06824 Public Charity 2020-12-01 ~ 2021-11-30
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Competitor

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City FAIRFIELD
Zip Code 62837
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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