NIKITA JAGGERNAUTH (Credential# 1653093) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
NIKITA JAGGERNAUTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062759-RES. The credential type is resident physician. The effective date is June 24, 2019. The expiration date is June 30, 2022. The business address is 40 Prospect Ave Bldg 2h, Norwalk, CT 06850-3737. The current status is active.
| Licensee Name | NIKITA JAGGERNAUTH |
| Credential ID | 1653093 |
| Credential Number | 1.062759-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
40 Prospect Ave Bldg 2h Norwalk CT 06850-3737 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-24 |
| Effective Date | 2019-06-24 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1670806 | CSP.0071678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-24 | 2019-06-24 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nikita Jaggernauth | 24 Stevens St, Norwalk, CT 06856 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Street Address | 40 PROSPECT AVE BLDG 2H |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Angad Deengar | 40 Prospect Ave Bldg 4k, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Juan C Sarmiento Ramon | 40 Prospect Ave Bldg 3l, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos M Nunez | 40 Prospect Ave Bldg 3a, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Di Wu | 40 Prospect Ave Bldg 4d, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Allan A Lambkin | 40 Prospect Ave, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Yousaf A Shaikh | 40 Prospect Ave Apt 3d, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-20 ~ 2021-06-19 |
| Mufti Mushfiqur Rahman | 40 Prospect Ave Bldg 3f, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-20 ~ 2021-06-19 |
| Sharon Sukhdeo | 40 Prospect Ave Bldg 3k, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-19 ~ 2021-06-30 |
| Virginia Ruiz | 40 Prospect Ave Bldg 4l, Norwalk, CT 06850-3737 | Resident Physician | 2019-11-11 ~ 2022-11-10 |
| Find all Licenses in zip 06850-3737 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nikita's Value Mart | 455 W Main St, Stamford, CT 06902-5514 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Whaler Ale Nikita's | Connecticut Brand Label Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-01-28 ~ 2014-01-27 |
| Nikita Jain | 857 Durham Rd, Madison, CT 06443-1827 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nikita Zukov | 114 Route 39 N, Sherman, CT 06784 | Architect | 1995-07-01 ~ 1996-07-31 |
| Nikita S Fedorov | 75 Sunset Dr, Naugatuck, CT 06770-2421 | Dietitian/nutritionist | 2015-07-01 ~ 2016-06-30 |
| Nikita Jain | 338 Copse Rd, Madison, CT 06443-2356 | Pharmacy Intern | 2015-08-10 ~ 2019-09-30 |
| Nikita A Benjamin | 130 Butler St, New Haven, CT 06511-1154 | Hairdresser/cosmetician | 2014-05-06 ~ 2015-06-30 |
| Nikita V Lesnik | 21 Barbara St, Westfield, MA 01085 | Emergency Medical Technician | ~ |
| Nikita Zavertyayev | 464 Europa Way, Las Vegas, NV 89145-5437 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Nikita Theroux | 131 South Road, Enfield, CT 06082 | Pharmacy Technician | 2008-04-01 ~ 2009-03-31 |
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| 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).