SAILAJA PUTTAGUNTA MD (Credential# 553792) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SAILAJA PUTTAGUNTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036200. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 39 Buell Hill Rd, Killingworth, CT 06419. The current status is active.
| Licensee Name | SAILAJA PUTTAGUNTA MD |
| Credential ID | 553792 |
| Credential Number | 1.036200 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Buell Hill Rd Killingworth CT 06419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-18 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 195509 | CSP.0026647 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 39 BUELL HILL RD |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Henry D Altman | 33 Route 148, Killingworth, CT 06419 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sailaja Gulipelli | 89 Fleet Pl, Mineola, NY 11501 | Physician/surgeon | 2007-06-15 ~ 2008-06-30 |
| Sailaja Malla | 123 N Lakewood Dr, Ridgeley, WV 26753-9723 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Sailaja Kalidasu | 76 Heseman Avenue, Brooklyn, NY 11212 | Physician/surgeon | ~ |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Srikanth Puttagunta | 37 Oak Street, Westport, CT 06880 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sailaja Ganga | 41 Franklin St, Woonsocket, RI 02895 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Sailaja B Bhaskar | 1900 Summer Street, Stamford, CT 06905 | Pharmacist | ~ |
| Sailaja Pindiprolu Md | 8503 Cory Drive, Bowie, MD 20720 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| 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 |
Please comment or provide details below to improve the information on SAILAJA PUTTAGUNTA 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).