ROJA R. MULAMALLA
Physician/surgeon


Address: 88 Fairway Drive, Wethersfield, CT 06109

ROJA R. MULAMALLA (Credential# 923227) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.

Business Overview

ROJA R. MULAMALLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048774. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 88 Fairway Drive, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name ROJA R. MULAMALLA
Credential ID 923227
Credential Number 1.048774
Credential Type Physician/Surgeon
Business Address 88 Fairway Drive
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-05-24
Effective Date 2012-06-01
Expiration Date 2013-05-31
Refresh Date 2013-09-05

Office Location

Street Address 88 fairway drive
City wethersfield
State CT
Zip Code 06109

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Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Amber H Washington 103 Parkview Drive, Wethersfield, CT 06109 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen A Mullady · Brancati 75 Dale Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City wethersfield
Zip Code 06109
License Type Physician/Surgeon
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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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