CHETAN BADDAM (Credential# 909577) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHETAN BADDAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010184. The credential type is dentist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2110 Raven Tower Court, Herndon, VA 20170. The current status is active.
| Licensee Name | CHETAN BADDAM |
| Credential ID | 909577 |
| Credential Number | 2.010184 |
| Credential Type | Dentist |
| Business Address |
2110 Raven Tower Court Herndon VA 20170 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-01-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 912192 | CSP.0047187 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-15 | 2019-04-21 - 2021-02-28 | ACTIVE |
| Street Address | 2110 Raven Tower Court |
| City | Herndon |
| State | VA |
| Zip Code | 20170 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth A Bryan | 708 Tamani Dr, Herndon, VA 20170 | Professional Engineer | 2020-04-17 ~ 2021-01-31 |
| Enrich Industrial (thai) Co Ltd | 147 Moo 1, Chonburi-banbueng Rd, Banbueng, Chonburi, TH 20170 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-23 ~ 2021-04-30 |
| Phoebe K Leask | 1006 Hidden Park Place, Herndon, VA 20170 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Coming Home Foundation, Inc. | 626 A Grant St., Herndon, VA 20170 | Public Charity | 2019-12-09 ~ 2020-11-30 |
| Joseph M Weissman | 2151 Astoria Circle, Herndon, VA 20170 | Professional Engineer | 2011-06-14 ~ 2012-01-31 |
| Luigi Grande | 13401 Catoctin Ct, Herndon, VA 20170 | Architect | 2014-08-01 ~ 2015-07-31 |
| Lincoln Bp Management Inc | 200 Fairbrook Drive, Herndon, VA 20170 | Real Estate Broker | 2014-04-01 ~ 2015-03-31 |
| Suzanne Jenkins | 12542 Browns Ferry, Herndon, VA 20170 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
| Jessica M Hull | 1127 Devon St, Herndon, VA 20170 | Engineer-in-training | ~ |
| Rachel S Chakoff | 12815 Briery River Terr., Herndon, VA 20170 | Radiographer | 2002-12-18 ~ 2003-09-30 |
| Find all Licenses in zip 20170 | |||
| City | Herndon |
| Zip Code | 20170 |
| License Type | Dentist |
| License Type + County | Dentist + Herndon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suman Kr Baddam | 74 Clark Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chetan Shah | 155 Rockland Ave, Stratford, CT 06614 | Pharmacy Technician | 2006-04-01 ~ 2007-03-31 |
| Chetan D Lathia | 10 Nettleton Drive, Woodbridge, CT 06525 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Chetan A Patil | 2441 Hwy 52 N, Rochester, MN 55901 | Professional Engineer | 2019-09-02 ~ 2020-01-31 |
| Chetan Vaid | 11 Marshall St, Old Greenwich, CT 06870-1218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Surendar Chetan Malani | 30 David Rd, Somers, NY 10589-3008 | Physician/surgeon | 1984-07-10 ~ 1991-07-31 |
| Chetan K Gairola | 603 W 235th St, Carson, CA 90745-5131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Chetan Patel · Holiday Inn Danbury | 80 Newtown Rd, Danbury, CT 06810-4152 | Hotel Liquor (50000 Or More Population) | 2016-01-14 ~ 2017-01-13 |
| Chetan A Joshi | 337 Mansfield Rd, Storrs Mansfield, CT 06269-9015 | Psychologist | 2019-09-01 ~ 2020-08-31 |
| Chetan K Khadka · South Main Wine & Spirits | 442 S Main St, West Hartford, CT 06110-1679 | Package Store Liquor | 2020-04-30 ~ 2021-04-29 |
Please comment or provide details below to improve the information on CHETAN BADDAM.
| 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).