VIJAYATHA C GUNDARAPU (Credential# 563937) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
VIJAYATHA C GUNDARAPU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046355. The credential type is physician/surgeon. The effective date is April 1, 2008. The expiration date is April 30, 2009. The business address is 78-40, 164th Street, Fresh Meadows, NY 11366. The current status is inactive.
Licensee Name | VIJAYATHA C GUNDARAPU |
Credential ID | 563937 |
Credential Number | 1.046355 |
Credential Type | Physician/Surgeon |
Business Address |
78-40, 164th Street Fresh Meadows NY 11366 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-04-01 |
Effective Date | 2008-04-01 |
Expiration Date | 2009-04-30 |
Refresh Date | 2009-08-13 |
Street Address | 78-40, 164th Street |
City | Fresh Meadows |
State | NY |
Zip Code | 11366 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Young Lee | 76-28 168 Street, Fresh Meadows, NY 11366 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Misuk Man | 75-27 181 Street, Flushing, NY 11366 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
Carmen Beltrame-pierre | 7714 162nd St, Queens, NY 11366 | Registered Nurse | ~ |
Joseph Q Do | 160-22 77th Road, Fresh Meadows, NY 11366 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Robert A Klaus | 73-52 193 Street, Flushing, NY 11366 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Shaohui Mao | 164-23 77th Road, Fresh Meadows, NY 11366 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Susan M Levine | 164-34 73rd Ave., Fresh Meadows, NY 11366 | Dentist | 2019-06-01 ~ 2020-05-31 |
Maryam Hamidieh Firoozan | 73-21 197 Street, Flushing, NY 11366 | Professional Engineer | ~ |
Insoo Kim | 75-22 Parsons Blvd., Apt. E2, Flushing, NY 11366 | Asbestos Abatement Supervisor | 2018-02-01 ~ 2019-01-31 |
Robin J Hur | 188-01 Union Turnpike, Fresh Meadows, NY 11366 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Find all Licenses in zip 11366 |
City | Fresh Meadows |
Zip Code | 11366 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Fresh Meadows |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).