ARUNA ADAIKKALAM
Physician/surgeon


Address: 55 Main St Apt 6g21, Enfield, CT 06082-3359

ARUNA ADAIKKALAM (Credential# 978490) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

ARUNA ADAIKKALAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049455. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 55 Main St Apt 6g21, Enfield, CT 06082-3359. The current status is inactive.

Basic Information

Licensee Name ARUNA ADAIKKALAM
Credential ID 978490
Credential Number 1.049455
Credential Type Physician/Surgeon
Business Address 55 Main St Apt 6g21
Enfield
CT 06082-3359
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-01-24
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
986329 CSP.0049682 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-03 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 55 MAIN ST APT 6G21
City ENFIELD
State CT
Zip Code 06082-3359

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Meaghan K Landry 55 Main St Apt 6417, Enfield, CT 06082-3359 Registered Nurse 2017-05-01 ~ 2018-04-30
Jan Baker 55 Main St Apt 6307, Enfield, CT 06082-3359 Licensed Practical Nurse ~

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Competitor

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City ENFIELD
Zip Code 06082
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ENFIELD

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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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