VENKATESH SASTHAKONAR ESACKIMOTHU
Physician/surgeon


Address: 208th Street, Bayside, NY 11360

VENKATESH SASTHAKONAR ESACKIMOTHU (Credential# 564562) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2008. The license expiration date date is June 30, 2009. The license status is INACTIVE.

Business Overview

VENKATESH SASTHAKONAR ESACKIMOTHU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046980. The credential type is physician/surgeon. The effective date is September 10, 2008. The expiration date is June 30, 2009. The business address is 208th Street, Bayside, NY 11360. The current status is inactive.

Basic Information

Licensee Name VENKATESH SASTHAKONAR ESACKIMOTHU
Credential ID 564562
Credential Number 1.046980
Credential Type Physician/Surgeon
Business Address 208th Street
Bayside
NY 11360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-09-10
Effective Date 2008-09-10
Expiration Date 2009-06-30
Refresh Date 2009-11-02

Office Location

Street Address 208th Street
City Bayside
State NY
Zip Code 11360

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Sung Hee Park 1706 202nd St 2fl, Bayside, NY 11360 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Myeong Hee Song 13-19 Estates Lane, Bayside, NY 11360 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Kyung Hee Shin 2908 204th St, Flushing, NY 11360 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Jialing Zhao 1570 208th St, Bayside, NY 11360 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Competitor

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City Bayside
Zip Code 11360
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bayside

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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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