MADHURI V VITHALA (Credential# 561267) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
MADHURI V VITHALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043685. The credential type is physician/surgeon. The effective date is June 30, 2010. The expiration date is June 30, 2011. The business address is 79 Beech St, Essex Junction, VT 05452-4378. The current status is inactive.
| Licensee Name | MADHURI V VITHALA |
| Credential ID | 561267 |
| Credential Number | 1.043685 |
| Credential Type | Physician/Surgeon |
| Business Address |
79 Beech St Essex Junction VT 05452-4378 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-07-29 |
| Effective Date | 2010-06-30 |
| Expiration Date | 2011-06-30 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 413201 | CSP.0038014 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-15 | 2007-04-11 - 2008-02-29 | INACTIVE |
| Street Address | 79 BEECH ST |
| City | ESSEX JUNCTION |
| State | VT |
| Zip Code | 05452-4378 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie Ann Hennessy | 29 Lang Dr, Essex Junction, VT 05452 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Kenneth A Pidgeon | 13 Vale Drive, Essex Junction, VT 05452 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Alisha Cunha | 70 Brickyard Rd, Essex Junction, VT 05452 | Registered Nurse | 2015-08-27 ~ 2016-06-30 |
| Joseph Driscoll | 241 Pearl St Apt 308, Essex Jct, VT 05452 | Electrical Unlimited Journeyperson | ~ |
| Imelda Bradley | 3 Blackberry Rd, Essex, VT 05452 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
| Gerald M Donahue | 11 Orchard Terr, Essex Junction, VT 05452 | Registered Sanitarian | 2008-08-22 ~ 2009-10-31 |
| Phong Dang | 26 Aspen Drive, Essex Junction, VT 05452 | Pharmacy Intern | 2004-09-23 ~ 2008-09-30 |
| Gianpiere B Anelli | 8 Iroquois Ave, Essex Jct, VT 05452 | Professional Engineer | ~ |
| Noella T Jones | 3a Sunset Dr, Essex Junction, VT 05452 | Hairdresser/cosmetician | 1993-01-25 ~ 1993-12-31 |
| David T Kolok | 4 Joseph Lane, Essex Junction, VT 05452 | Licensed Alcohol and Drug Counselor | 2001-01-25 ~ 2002-01-31 |
| Find all Licenses in zip 05452 | |||
| City | ESSEX JUNCTION |
| Zip Code | 05452 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ESSEX JUNCTION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madhuri Sharma | 55 Wilkins St, Hamden, CT 06517-3342 | Physician/surgeon | ~ |
| Madhuri N Bakhru | 27 Hosp. Ave #201, Danbury, CT 06810 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Madhuri K Pratinidhi | 351 Merline Rd., Vernon, CT 06066 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Madhuri Tirumandas | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2015-07-01 ~ 2018-06-30 |
| Anil Vithala | 477 Connecticut Blvd Ste 117, East Hartford, CT 06108-3228 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madhuri V Salve | 503 Center Meadow Lane, Danbury, CT 06810 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Madhuri Tirumandas | 1 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Madhuri Pratinidhi | 351 Merline Road Ste 101, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madhuri D Gadiyaram | 826 Ternay Ave, Scotch Plains, NJ 07076-2150 | Controlled Substance Registration for Practitioner | 2019-09-23 ~ 2021-02-28 |
| Madhuri D Shah Md | 60 Oxford Drive, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MADHURI V VITHALA.
| 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).