SHRIDHAR KOTTA MD (Credential# 552454) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 18, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.
SHRIDHAR KOTTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034859. The credential type is physician/surgeon. The effective date is July 18, 1996. The expiration date is July 31, 1997. The business address is 2901 Haine Drive, Harlingen, TX 78550-7817. The current status is inactive.
Licensee Name | SHRIDHAR KOTTA MD |
Credential ID | 552454 |
Credential Number | 1.034859 |
Credential Type | Physician/Surgeon |
Business Address |
2901 Haine Drive Harlingen TX 78550-7817 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-09-15 |
Effective Date | 1996-07-18 |
Expiration Date | 1997-07-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
169087 | CSP.0024151 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
Street Address | 2901 HAINE DRIVE |
City | HARLINGEN |
State | TX |
Zip Code | 78550-7817 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vilma B Corpuz | 2901 Haine Drive Apt 305, Harlingen, TX 78550 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
Maureen V Russenes · Greenway | 1500 Sam Houston, Harlingen, TX 78550 | Registered Nurse | ~ 1995-11-30 |
Elias Hernandez | 1902 B. Pease Street, Harlinden, TX 78550 | Physician/surgeon | 2003-05-23 ~ 2004-05-31 |
John F Tate | 1000 Camelot Dr 6115, Harlingen, TX 78550 | Heating, Piping & Cooling Limited Contractor | ~ |
Claudia Perez | 20637 Kilbourn Rd, Harlingen, TX 78550-2467 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tina Brede | 2505 N Blake St, Harlingen, TX 78550-3832 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
Matt Andrew E Magto | 1802 High St, Harlingen, TX 78550-4431 | Registered Nurse | 2010-10-06 ~ 2011-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Noelia Luna Hernandez | 3618 Times Sq, Harlingen, TX 78552 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Debbie A Mcrae-perry | 22151 Burns Rd, Harlingen, TX 78552 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Ana Elizabeth Rosalez | 16282 Wilson Rd, Harlingen, TX 78552-1971 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Alicia Martinez | 5717 Wild Persimmon, Harlingen, TX 78552 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Nora Hilda Gonzalez | 26836 Perk Ln, Harlingen, TX 78552-1795 | Registered Nurse | 2013-04-12 ~ 2013-09-30 |
City | HARLINGEN |
Zip Code | 78550 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HARLINGEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vijay Shridhar Pande | 9493 Wolf River Blvd, Germantown, TN 38139 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Ulrike K Fischer · Kotta | 773 Wright's Mill Rd, Coventry, CT 06238 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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 |
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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).