SUDHAKAR MANNAM (Credential# 559981) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 4, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
SUDHAKAR MANNAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042399. The credential type is physician/surgeon. The effective date is May 4, 2004. The expiration date is March 31, 2005. The business address is 83-4a Winding Wood Drive, Sayreville, NJ 08872. The current status is inactive.
| Licensee Name | SUDHAKAR MANNAM |
| Credential ID | 559981 |
| Credential Number | 1.042399 |
| Credential Type | Physician/Surgeon |
| Business Address |
83-4a Winding Wood Drive Sayreville NJ 08872 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-05-04 |
| Effective Date | 2004-05-04 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 83-4A Winding Wood Drive |
| City | Sayreville |
| State | NJ |
| Zip Code | 08872 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trigen Laboratories LLC | 2500 Main St Extension Suite 6, Sayreville, NJ 08872 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Niyati Hora | 17 Michalik Dr., Sayreville, NJ 08872 | Emergency Medical Technician | ~ |
| Katherine Buczek | 94 Whitehead Ave, Sayreville, NJ 08872 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Robert R Ross | 14 Karwatt Court, Sayreville, NJ 08872 | Certified Public Accountant Certificate | ~ |
| Diane Krasne | 22 Major Drive, Sayreville, NJ 08872 | Dental Hygienist | 1989-03-11 ~ 1992-12-31 |
| Meredith R Roessner | 61-67 Main Street, Sayreville, NJ 08872 | Asbestos Consultant-inspector | 2002-11-06 ~ 2003-12-31 |
| Tahira Ashraf | 97 Winding Wood Dr, Sayreville, NJ 08872 | Registered Nurse | 2001-04-11 ~ 2002-01-31 |
| Ioan Serban | 53-6a Winding Drive, Sayreville, NJ 08872 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Kevin Seymour | 107 Macarthur Ave, Sayreville, NJ 08872 | Electrical Limited Journeyperson | ~ |
| John Bartkowicz | 205 Macarthur Ave, Sayreville, NJ 08872 | Fire Protection Unlimited Contractor | ~ |
| Find all Licenses in zip 08872 | |||
| City | Sayreville |
| Zip Code | 08872 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Sayreville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arjuna P Mannam | 4 Ellawoods Drive, Farmington, CT 06032 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Chittor B Sai-sudhakar | 7895 Ledbury Court, Westerville, OH 43081 | Physician/surgeon | 2002-01-31 ~ 2003-01-31 |
| Aniruddha Sudhakar Vidwans | Uconn Hlth Ctr/pediatrics, Farmington, CT 06030-2948 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Prabhath Mannam | 4 Ellawoods Dr, Farmington, CT 06032-1169 | Emergency Medical Technician | 2018-09-06 ~ 2019-06-30 |
| Praveen Mannam | 53 Santa Fe Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sudhakar V Nagardeolekar | 283 Grahaber Rd, Tolland, CT 06084 | Architect | 2019-08-01 ~ 2020-07-31 |
| Hannah A Sudhakar | 99 Four Seasons Ln, Trumbull, CT 06611-4364 | Emergency Medical Technician | 2018-04-10 ~ 2021-03-31 |
| Toni J Sudhakar · Lytton | 7895 Ledbury Court, Westerville, OH 43081 | Registered Nurse | 2004-03-22 ~ 2004-12-31 |
| Sudhakar S Shetty Md | 11 Traditions Blvd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chittor B Sai-sudhakar Md | 85b Robert Treat Drive, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2000-03-03 ~ 2001-02-28 |
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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).