SUDATH G RANNULU (Credential# 564882) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 13, 2009. The license expiration date date is December 31, 2009. The license status is INACTIVE.
SUDATH G RANNULU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047300. The credential type is physician/surgeon. The effective date is January 13, 2009. The expiration date is December 31, 2009. The business address is 355 Bard Avenue, Staten Island, NY 10310. The current status is inactive.
Licensee Name | SUDATH G RANNULU |
Credential ID | 564882 |
Credential Number | 1.047300 |
Credential Type | Physician/Surgeon |
Business Address |
355 Bard Avenue Staten Island NY 10310 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-01-13 |
Effective Date | 2009-01-13 |
Expiration Date | 2009-12-31 |
Refresh Date | 2010-04-16 |
Street Address | 355 Bard Avenue |
City | Staten Island |
State | NY |
Zip Code | 10310 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nelia Aguilar Mendoza | 355 Bard Avenue, Staten Island, NY 10310 | Physician/surgeon | ~ 1999-12-31 |
Merrit P Sinclair | 355 Bard Avenue, Staten Island, NY 10310 | Registered Nurse | 1996-12-30 ~ 1998-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junaid Aslam | 511 Delafield Ave, Staten Island, NY 10310 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
John B Zunino | 684 Oakland Avenue, Staten Island, NY 10310 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Salman Kazim | 355 Bard Avenue, #5q, Staten Island, NY 10310 | Physician/surgeon | 1995-08-11 ~ 1996-07-31 |
Thomas E Wallace IIi | 616 Bement Ave, Staten Island, NY 10310 | Pharmacy Intern | 2017-08-22 ~ 2020-09-30 |
Sandra F Graydon-long | 117 Bement Avenue, Staten Island, NY 10310 | Master's Level Social Worker | 2016-05-01 ~ 2017-04-30 |
Lars T Ahlman | 33 Clove Lake Pl, Staten Island, NY 10310 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
Christopher W Torres | 134 Dongan Street, Staten Island, NY 10310 | Tv & Radio Limited Dish Antenna Technician | 2010-02-18 ~ 2010-08-31 |
Ralph G Attanasi | 821 Clove Road, Staten Island, NY 10310 | Dentist | 2007-12-24 ~ 2008-12-31 |
Rene A Mathews | 672 Gary Avenue, Staten Island, NY 10310 | Lead Abatement Worker | 2000-04-21 ~ 2001-06-30 |
Karol Bogdanowicz | 383 Cary Avenue, #2, Staten Island, NY 10310 | Asbestos Abatement Worker | 2004-04-14 ~ 2004-06-30 |
Find all Licenses in zip 10310 |
City | Staten Island |
Zip Code | 10310 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Staten Island |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).