MADHURI D GADIYARAM
Controlled Substance Registration for Practitioner


Address: 826 Ternay Ave, Scotch Plains, NJ 07076-2150

MADHURI D GADIYARAM (Credential# 993188) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MADHURI D GADIYARAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049972. The credential type is controlled substance registration for practitioner. The effective date is September 23, 2019. The expiration date is February 28, 2021. The business address is 826 Ternay Ave, Scotch Plains, NJ 07076-2150. The current status is active.

Basic Information

Licensee Name MADHURI D GADIYARAM
Credential ID 993188
Credential Number CSP.0049972
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 826 Ternay Ave
Scotch Plains
NJ 07076-2150
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-04-18
Effective Date 2019-09-23
Expiration Date 2021-02-28
Refresh Date 2020-02-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1788737 CSP.0072487 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-09-26 2019-09-26 - 2021-02-28 ACTIVE
986658 1.049732 Physician/Surgeon 2011-04-14 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 826 TERNAY AVE
City SCOTCH PLAINS
State NJ
Zip Code 07076-2150

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Christopher D Jakway 20 Malanga Ct, Scotch Plains, NJ 07076 Engineer-in-training 2006-10-17 ~ 2016-10-17
Gift Okarter 817 O'donnell Ave, Scotch Plains, NJ 07076 Registered Nurse 2015-11-01 ~ 2016-10-31
Daniel J Difrancesco 532 Jerusalem Rd, Scotch Plains, NJ 07076 Professional Engineer 2015-02-01 ~ 2016-01-31
Eugene G Rau 10 Maddaket Sthwyck Vlge, Scotch Plains, NJ 07076 Professional Engineer 1992-01-16 ~ 1993-01-31
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Competitor

Search similar business entities

City SCOTCH PLAINS
Zip Code 07076
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCOTCH PLAINS

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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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