LATHA S CHIRUNOMULA
Physician/surgeon


Address: 3305 Kemper Road, Arlington, VA 22206

LATHA S CHIRUNOMULA (Credential# 989285) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

LATHA S CHIRUNOMULA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049780. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 3305 Kemper Road, Arlington, VA 22206. The current status is inactive.

Basic Information

Licensee Name LATHA S CHIRUNOMULA
Credential ID 989285
Credential Number 1.049780
Credential Type Physician/Surgeon
Business Address 3305 Kemper Road
Arlington
VA 22206
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-05-02
Effective Date 2014-06-01
Expiration Date 2015-05-31
Refresh Date 2015-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
870511 70.961497 Emergency Medical Technician 1997-08-19 - 1998-10-01 INACTIVE

Office Location

Street Address 3305 Kemper Road
City Arlington
State VA
Zip Code 22206

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sheryl L Cosme 1543 28th St. South, Arlington, VA 22206 Registered Nurse 2020-06-01 ~ 2021-05-31
Samantha Stanworth Streng 4801 27th Rd S, Arlington, VA 22206 Master's Level Social Worker 2019-11-01 ~ 2020-10-31
Jacqueline A Fitzpatrick 2711 S Adams St, Arlington, VA 22206 Occupational Therapist 2019-08-01 ~ 2021-07-31
Kishori Mahulikar 4869 28th St South Apt 2a, Madison, CT 22206 Master's Level Social Worker 2015-10-01 ~ 2016-09-30
Tracelyn A Hairston 2711 S. Adams St, Arlington, VA 22206 Registered Nurse 2013-09-01 ~ 2014-08-31
Rebecca L Fitelson 4539 A 28th Rd S, Arlington, VA 22206 Registered Nurse 2013-02-01 ~ 2014-01-31
Jeffrey M Patrician 3000 S. Randolph Street, Arlington, VA 22206 Dentist 2011-03-01 ~ 2012-02-29
Voting Integrity Project 4649 B 28th Road South, Arlington, VA 22206 Public Charity ~
Gregory S Lukmire 2700 S Quincy St=300, Arlington, VA 22206 Architect 2004-08-01 ~ 2005-07-31
Donna O Boczek · Konans 2901-a So Woodstock, Arlington, VA 22206 Registered Nurse 1992-04-24 ~ 1993-04-30
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Competitor

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City Arlington
Zip Code 22206
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Arlington

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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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