ANURUDDHA WALALIYADDA
Physician/surgeon


Address: 687 Campbell Ave, West Haven, CT 06516-3774

ANURUDDHA WALALIYADDA (Credential# 554629) 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.

Business Overview

ANURUDDHA WALALIYADDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037039. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 687 Campbell Ave, West Haven, CT 06516-3774. The current status is active.

Basic Information

Licensee Name ANURUDDHA WALALIYADDA
Credential ID 554629
Credential Number 1.037039
Credential Type Physician/Surgeon
Business Address 687 Campbell Ave
West Haven
CT 06516-3774
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-07-02
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-07

Other licenses

ID Credential Code Credential Type Issue Term Status
2056144 CSP.0074538 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-17 2020-06-17 - 2021-02-28 ACTIVE
2054956 CSP.0074501 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-17 2020-06-17 - 2021-02-28 ACTIVE
2056141 CSP.0074536 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-17 2020-06-17 - 2021-02-28 ACTIVE
2056143 CSP.0074537 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-17 2020-06-17 - 2021-02-28 ACTIVE
156028 CSP.0027394 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
1408889 CSP.0064888 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-01 2019-03-01 - 2021-02-28 ACTIVE
1327494 CSP.0061919 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-01-06 2019-03-01 - 2021-02-28 ACTIVE
1387957 CSP.0064313 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-11-05 2019-03-01 - 2021-02-28 ACTIVE
1189930 CSP.0056297 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-10-19 2019-03-01 - 2021-02-28 ACTIVE
1791156 CSP.0072536 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-10-04 2019-10-04 - 2021-02-28 ACTIVE
1634654 CSP.0070340 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-02-26 2019-02-26 - 2021-02-28 ACTIVE
1435455 CSP.0066143 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-06 2019-03-01 - 2021-02-28 ACTIVE
423361 CSP.0038603 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-12-06 2019-03-01 - 2021-02-28 ACTIVE
492929 CSP.0043046 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-01-29 2019-03-01 - 2021-02-28 ACTIVE
1616031 CSP.0069890 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-11-21 2018-11-21 - 2019-02-28 INACTIVE
1442071 CSP.0066568 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-08-10 2017-08-10 - 2019-02-28 INACTIVE
1230895 CSP.0057602 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-06-25 2015-03-01 - 2017-02-28 INACTIVE
1161934 CSP.0054651 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-05-07 2015-03-06 - 2017-02-28 INACTIVE
1262514 CSP.0059231 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-02-07 2015-02-07 - 2017-02-28 INACTIVE
897341 CSP.0046777 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-10-19 2013-03-01 - 2015-02-28 INACTIVE
994464 CSP.0050014 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-04-27 2011-04-27 - 2013-02-28 INACTIVE
1039127 CSP.0051606 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-11-02 2011-11-02 - 2013-02-28 INACTIVE
423821 CSP.0038614 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-12-13 2011-03-10 - 2013-02-28 INACTIVE
520293 CSP.0044898 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-12-05 2011-03-01 - 2013-02-28 INACTIVE
316272 CSP.0032622 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE
1230897 CSP.0057603 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Anuruddha Walaliyadda · The Mary Wade Home 118 Clinton Ave, New Haven, CT 06513-3100 Controlled Substance Registration for Practitioner 2016-11-16 ~ 2017-02-28

Office Location

Street Address 687 CAMPBELL AVE
City WEST HAVEN
State CT
Zip Code 06516-3774

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Minori Korn 687 Campbell Ave, West Haven, CT 06516-3774 Registered Nurse 2020-08-01 ~ 2021-07-31
Benedict L. L Fernando Md 687 Campbell Ave, West Haven, CT 06516 Physician/surgeon 2020-03-01 ~ 2021-02-28
Joseph A. Balsamo 687 Campbell Ave, West Haven, CT 06516-3774 Controlled Substance Registration for Practitioner 2019-06-19 ~ 2021-02-28
Benedict Fernando Md 687 Campbell Ave, West Haven, CT 06516-3774 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lena Wu Rivas 687 Campbell Avenue, West Haven, CT 06516-3774 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nancy Cabrera Salinas 649 Third Ave., West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2021-07-31
Lauralee L Gaglio 27 Peppermill Drive, West Haven, CT 06516 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Evelyn Ruiz Conant 309 Terrace Ave, Unit 42, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Junqin Wang 15 Central Ave West Haven, West Haven, CT 06516 Nail Technician ~
Mehmet Sofuoglu Md Va Conn Healthcare System, West Haven, CT 06516 Physician/surgeon 2020-09-01 ~ 2021-08-31
Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
Lourdes Maribel Guzman 26 York Street, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Mcdonald's · Tay Mac Dba 1129 Campbell Ave, West Haven, CT 06516 Bakery 2020-07-01 ~ 2021-06-30
Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06516

Competitor

Search similar business entities

City WEST HAVEN
Zip Code 06516
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HAVEN

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Improve Information

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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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