SHANU KONDAMURI (Credential# 551584) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 14, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.
SHANU KONDAMURI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033985. The credential type is physician/surgeon. The effective date is December 14, 1995. The expiration date is September 30, 1996. The business address is 980 Amber Ridge Rd, Charlottesville, VA 22901. The current status is inactive.
| Licensee Name | SHANU KONDAMURI |
| Credential ID | 551584 |
| Credential Number | 1.033985 |
| Credential Type | Physician/Surgeon |
| Business Address |
980 Amber Ridge Rd Charlottesville VA 22901 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-08-12 |
| Effective Date | 1995-12-14 |
| Expiration Date | 1996-09-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161557 | CSP.0022526 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-09-20 - 1995-12-01 | INACTIVE |
| Street Address | 980 AMBER RIDGE RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph W Lavernoich | 1103 Amber Ridge Rd, Charlottesville, VA 22901 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Brooke Elizabeth Rolfe | 1003 Saint Charles Avenue, Charlottesville, VA 22901 | Registered Nurse | 2019-04-18 ~ 2019-12-31 |
| Anna E Fontaine | 3501 Glenaire Dr., Charlottesville, VA 22901 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Marge J Haskins · Weichert Inc (ny) | 300 Fourth St S E Apt 36, Charlottesville, VA 22901 | Real Estate Salesperson | 2007-05-31 ~ 2008-05-31 |
| Melanie Morris | 918 Marshall Street, Charlottesville, VA 22901 | Advanced Practice Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| James P Morris | 1520 Shadow Oaks Place, Charlottesville, VA 22901 | Architect | 2002-08-01 ~ 2003-07-31 |
| Kathryn Gamble | Rt 12 Box 83, Charlottesville, VA 22901 | Physical Therapist | 1993-06-24 ~ 1994-05-31 |
| David E Rosenman | P.o. Box 5851, Charlotesville, VA 22901 | Physician/surgeon | 1971-08-27 ~ 1980-07-31 |
| Cheryl A Walker | 2968 Cove Trace, Charlottesville, VA 22901 | Electrologist | 1992-06-25 ~ 1993-06-30 |
| Karen L Hendrickson | 776 Merion Greene, Charlottesville, VA 22901 | Registered Nurse | 2002-04-15 ~ 2003-05-31 |
| Find all Licenses in zip 22901 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHARLOTTESVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).