CHAITANYA SIKHARAM (Credential# 1393595) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
CHAITANYA SIKHARAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056149. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 54 Sunrise Ter, Staten Island, NY 10304-2170. The current status is inactive.
| Licensee Name | CHAITANYA SIKHARAM |
| Credential ID | 1393595 |
| Credential Number | 1.056149 |
| Credential Type | Physician/Surgeon |
| Business Address |
54 Sunrise Ter Staten Island NY 10304-2170 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-02-16 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1503594 | CSP.0067734 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-10 | 2018-04-10 - 2019-02-28 | LAPSED |
| Street Address | 54 SUNRISE TER |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2170 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Benvenuto | 36 Wilson Street, Staten Island, NY 10304 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joseph J Ruggiero | 60 Duncan St, Staten Isld, NY 10304 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Sarah Klobocista | 21 Vista Ave, Staten Island, NY 10304 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Boundless Impact Group LLC | 25 Copperleaf Terrace, Staten Island, NY 10304 | Paid Solicitor | 2019-08-13 ~ 2020-08-12 |
| Richard J Trieste | 48 Duncan St, Staten Island, NY 10304 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Advanced Technology Select Fund Viii, LLC | 163 Coventry Road, Staten Island, NY 10304 | Securities - Exemptions | 2019-11-12 ~ |
| Sabrina J Lauriston | 32 Delaware Street, Staten Island, NY 10304 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John B Dimaano | 800 Elbe Ave, Staten Island, NY 10304 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Nadezda A Tretyakova | 54 Sunrise Terrace, Staten Island, NY 10304 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Bruce Sosler | 27 Gateway Drive, Staten Island, NY 10304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in zip 10304 | |||
| City | STATEN ISLAND |
| Zip Code | 10304 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chaitanya Images | 1a 115/3 (old) West of Chord Rd, Bangalore, 560044 | Manufacturer of Bedding & Upholstered Furniture | 2015-04-21 ~ 2016-04-30 |
| Prajwal Chaitanya Boddu | 8282 Cambridge St Apt 114, Houston, TX 77054-3120 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Madhulatha Sikharam | Stamford, CT 06901 | Pharmacy Technician | 2016-09-27 ~ 2017-03-31 |
| Chaitanya C Reddy | 56 Franklin St, Waterbury, CT 06706-1281 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Chaitanya K Gangiredla | 1060 East Main St, Bridgeport, CT 06608-1915 | Pharmacy Technician | 2010-04-01 ~ 2011-03-31 |
| Chaitanya A Patwardhan | 1919 Canyon Ridge Dr, Broad Brook, CT 06016-5616 | Dentist | 2017-03-01 ~ 2018-03-31 |
| Deepthi Chaitanya Kagolanu | 57 Herkimer St, Brooklyn, NY 11216-2780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitanya S. Chandravanka Md | 1000 Asylum Ave Ste 2109a, Hartford, CT 06105-1719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chaitanya P Puranik | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2018-03-14 ~ 2019-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on CHAITANYA SIKHARAM.
| 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).