SRINIVAS RANGU MD
Physician/surgeon


Address: 71 John Olds Dr Apt 108, Manchester, CT 06040

SRINIVAS RANGU MD (Credential# 554412) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

SRINIVAS RANGU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036821. The credential type is physician/surgeon. The effective date is March 13, 2000. The expiration date is April 30, 2001. The business address is 71 John Olds Dr Apt 108, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name SRINIVAS RANGU MD
Credential ID 554412
Credential Number 1.036821
Credential Type Physician/Surgeon
Business Address 71 John Olds Dr Apt 108
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-04-24
Effective Date 2000-03-13
Expiration Date 2001-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
193215 CSP.0026869 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 71 JOHN OLDS DR APT 108
City MANCHESTER
State CT
Zip Code 06040

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Mary Fosuah Nketia 61 Cougar Drive, Manchester, CT 06040 Registered Nurse 2020-08-01 ~ 2021-07-31
New Seasons Inc. 164 East Center Street, Manchester, CT 06040 Public Charity 2019-06-01 ~ 2020-05-31
Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City MANCHESTER
Zip Code 06040
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MANCHESTER

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Dataset Information

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).

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