JATINDER S BAKSHI
Physician/surgeon


Address: 12 Townsend Lane, Hicksville, NY 11801

JATINDER S BAKSHI (Credential# 556786) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2009. The license expiration date date is February 16, 2010. The license status is INACTIVE.

Business Overview

JATINDER S BAKSHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039200. The credential type is physician/surgeon. The effective date is February 27, 2009. The expiration date is February 16, 2010. The business address is 12 Townsend Lane, Hicksville, NY 11801. The current status is inactive.

Basic Information

Licensee Name JATINDER S BAKSHI
Credential ID 556786
Credential Number 1.039200
Credential Type Physician/Surgeon
Business Address 12 Townsend Lane
Hicksville
NY 11801
Business Type INDIVIDUAL
Status INACTIVE - REVOKED
Issue Date 2000-12-22
Effective Date 2009-02-27
Expiration Date 2010-02-16
Refresh Date 2010-04-22

Office Location

Street Address 12 Townsend Lane
City Hicksville
State NY
Zip Code 11801

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Shihui Chen 183 7th St, Hicksville, NY 11801 Professional Engineer 2020-02-01 ~ 2021-01-31
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City Hicksville
Zip Code 11801
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hicksville

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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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