VIJAY BHASKAR R. GADDAM (Credential# 991396) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
VIJAY BHASKAR R. GADDAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010520. The credential type is dentist. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 20 Pinewood Dr, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | VIJAY BHASKAR R. GADDAM |
| Credential ID | 991396 |
| Credential Number | 2.010520 |
| Credential Type | Dentist |
| Business Address |
20 Pinewood Dr Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-05-12 |
| Effective Date | 2016-06-01 |
| Expiration Date | 2017-05-31 |
| Refresh Date | 2017-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1038479 | CSP.0051586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-10-27 | 2015-03-23 - 2017-02-28 | INACTIVE |
| Street Address | 20 pinewood dr |
| City | Longmeadow |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | Longmeadow |
| Zip Code | 01106 |
| License Type | Dentist |
| License Type + County | Dentist + Longmeadow |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harish Gaddam | 709 Wye Oak Dr, Fruitland, MD 21826-1929 | Pharmacist | ~ |
| Sushma Gaddam | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Srujani Gaddam Md | 415 Beverley Rd, Brooklyn, NY 11218 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Bhaskar Arora | 80 Seymour, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bhaskar Banerjee | 6 Third Ave, Point Washington, NY 11050 | Physician/surgeon | 1986-08-18 ~ 1989-11-30 |
| Bhaskar Roy | 900 Chapel Street, New Haven, CT 06510 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Bhaskar Srivastava | 12 Academy St Apt 2a, New Haven, CT 06511-6973 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Sailaja B Bhaskar | 1900 Summer Street, Stamford, CT 06905 | Pharmacist | ~ |
| Bhaskar M Gusani | 12 Erin Lane, Old Bridge, NJ 08857 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Sainath Gaddam | 10 Avalon Dr Unit 3323, Milford, CT 06460-8577 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on VIJAY BHASKAR R. GADDAM.
| 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).