KIRANMAI BANDARU
Physician/surgeon


Address: 175 Willoughby St, Brooklyn, NY 11201

KIRANMAI BANDARU (Credential# 885912) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 21, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

KIRANMAI BANDARU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048072. The credential type is physician/surgeon. The effective date is August 21, 2009. The expiration date is July 31, 2010. The business address is 175 Willoughby St, Brooklyn, NY 11201. The current status is inactive.

Basic Information

Licensee Name KIRANMAI BANDARU
Credential ID 885912
Credential Number 1.048072
Credential Type Physician/Surgeon
Business Address 175 Willoughby St
Brooklyn
NY 11201
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-21
Effective Date 2009-08-21
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 175 WILLOUGHBY ST
City BROOKLYN
State NY
Zip Code 11201

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City BROOKLYN
Zip Code 11201
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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