SURI PAPPU
Physician/surgeon


Address: 1140 Portland Place, Boulder, CO 80304

SURI PAPPU (Credential# 548514) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

SURI PAPPU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030529. The credential type is physician/surgeon. The effective date is August 1, 2009. The expiration date is July 31, 2010. The business address is 1140 Portland Place, Boulder, CO 80304. The current status is inactive.

Basic Information

Licensee Name SURI PAPPU
Credential ID 548514
Credential Number 1.030529
Credential Type Physician/Surgeon
Business Address 1140 Portland Place
Boulder
CO 80304
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-01-12
Effective Date 2009-08-01
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 1140 Portland Place
City Boulder
State CO
Zip Code 80304

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Kristy F Tiampo · Us Army Corp of Engr N 3985 Promontory Ct, Boulder, CO 80304 Professional Engineer 1993-12-31 ~ 1995-01-31
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City Boulder
Zip Code 80304
License Type Physician/Surgeon
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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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