NAGARAJA K CHIRUNOMULA MD (Credential# 549645) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NAGARAJA K CHIRUNOMULA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031991. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 765 Main St, Monroe, CT 06468-2810. The current status is active.
| Licensee Name | NAGARAJA K CHIRUNOMULA MD |
| Business Name | FAMILY MEDICAL CENTER |
| Credential ID | 549645 |
| Credential Number | 1.031991 |
| Credential Type | Physician/Surgeon |
| Business Address |
765 Main St Monroe CT 06468-2810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-11-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158157 | CSP.0019844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 765 MAIN ST |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sekhar Chirunomula Md | 765 Main St, Monroe, CT 06468 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raghunath P Marwah · Ragu's Mini Mart | 695 Main St, Monroe, CT 06468-2810 | Grocery Beer | 2010-08-27 ~ 2011-08-26 |
| Ragus Mini Mart | 695 Main St, Monroe, CT 06468-2810 | Retail Dairy Store | 2010-07-01 ~ 2011-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Urabagilu Nagaraja | 41 Mt View Ave, New Milford, CT 06776 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Sekhar Chirunomula Md | 765 Main St, Monroe, CT 06468 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rammurthy Chirunomula | 24 Stevens Street, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Latha S Chirunomula | 3305 Kemper Road, Arlington, VA 22206 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Niranjan Kumar Mittal | Family Health & Cardiac Center, Brooklyn, NY 11209 | Physician/surgeon | ~ |
| Robert A Cushman Md | Family Medicine Center At Asylum Hill, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Cynthia F Mann Md · Spring Glen Medical Center | Whitney Pediatrics/northeast Medical Group, Hamden, CT 06518 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sam T Donta | Va Medical Center, Boston, MA 02130 | Physician/surgeon | 1992-09-24 ~ 1993-08-31 |
| Albert I Alexander | 2 Medical Center Dr Ste 404, Springfield, MA 01107-1272 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William A Abdu | 1 Medical Center Dr, Lebanon, NH 03756-1000 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
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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).