MYTHILI KASTURI (Credential# 904641) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
MYTHILI KASTURI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048444. The credential type is physician/surgeon. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 507 Canyon Ridge Dr, Broad Brook, CT 06016-5602. The current status is inactive.
| Licensee Name | MYTHILI KASTURI |
| Credential ID | 904641 |
| Credential Number | 1.048444 |
| Credential Type | Physician/Surgeon |
| Business Address |
507 Canyon Ridge Dr Broad Brook CT 06016-5602 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-02-05 |
| Effective Date | 2010-05-01 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 915451 | CSP.0047268 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-02-24 | 2010-02-24 - 2011-02-28 | INACTIVE |
| Street Address | 507 CANYON RIDGE DR |
| City | BROAD BROOK |
| State | CT |
| Zip Code | 06016-5602 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey William Kirby | 519 Canyon Ridge Dr, Broad Brook, CT 06016-5602 | Real Estate Salesperson | 2011-01-01 ~ 2012-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Moore | 67 Middle Road, Broad Brook, CT 06016 | Emergency Medical Technician | 2018-08-02 ~ 2020-03-31 |
| Dallas W Hosmer | N24 Mill Pond Drive, Broad Brook, CT 06016 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2020-08-31 |
| Cathryn E Carroll | 127 East Road, Broad Brook, CT 06016 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jonathan E Marino · J M Affordable Landscaping | 319 Canyon Ridge Drive, Broad Brook, CT 06016 | Home Improvement Contractor | 2018-09-04 ~ 2019-11-30 |
| Heather Allison Kun | 2 Jessie Ln, Broad Brook, CT 06016 | Registered Nurse | ~ |
| Anna J Mangiafico · Kement | 35 Sullivan Farm Road, Broad Brook, CT 06016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa V La Belle | 17 C Folkstone Road, Broad Brook, CT 06016 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Andrea Kopec | 406 Canyon Ridge Drive, Broad Brook, CT 06016 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen C Quesnel | 16 Maple Avenue (po Box 349), Broad Brook, CT 06016 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Sophie Carter | 41 Skinner Road, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06016 | |||
| City | BROAD BROOK |
| Zip Code | 06016 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BROAD BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mythili Tarala | 17 Tanbark Trail, Unionville, CT 06085 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mythili Vrudhula | 90 Blueberry Hill Reserve, Killingworth, CT 06419 | Real Estate Salesperson | ~ |
| Ram Mohan R Kasturi | 15 Warren Dr, Seymour, CT 06483 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kasturi S Yalamanchili | 245 Thunder Lake Rd, Wilton, CT 06897-1338 | Dietitian/nutritionist | 2019-12-01 ~ 2020-11-30 |
| Pallavi Kasturi | 15 Warren Drive, Seymour, CT 06483 | Emergency Medical Technician | ~ |
| Vinay Kasturi | 38 Bristol St, West Haven, CT 06516 | Engineer-in-training | 2018-05-30 ~ 2028-05-30 |
| Kasturi V Ranga Md | 103 Gooseberry Hill, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on MYTHILI KASTURI.
| 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).