VISWANADHAM POTHULA MD (Credential# 551919) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.
VISWANADHAM POTHULA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034321. The credential type is physician/surgeon. The effective date is March 20, 2000. The expiration date is February 28, 2001. The business address is 1423 Chapel Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | VISWANADHAM POTHULA MD |
| Credential ID | 551919 |
| Credential Number | 1.034321 |
| Credential Type | Physician/Surgeon |
| Business Address |
1423 Chapel Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-03-03 |
| Effective Date | 2000-03-20 |
| Expiration Date | 2001-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163412 | CSP.0022965 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 1423 CHAPEL STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julian L Henley | 1423 Chapel Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Venkatachala I Sreenivas Md | 1423 Chapel Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Samuel A Simons | 1423 Chapel Street, New Haven, CT 06500 | Notary Public Appointment | 1976-01-01 ~ 1980-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anitha Pothula Appalaneni Md | 62 Stoney Ridge Rd, Saddle River, NJ 07458-2510 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Venkata Ratna Pothula | 25 Gosselin Rd, Nashua, NH 03062-1401 | Pharmacist | ~ |
| Ashok Pothula | 10328 Marchant Ln, Irving, TX 75063-4505 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Sandra M Pothula · Parchment | 10112 Town Walk Dr, Hamden, CT 06518 | Registered Nurse | 1999-02-11 ~ 2000-03-31 |
| 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 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on VISWANADHAM POTHULA MD.
| 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).