BIKKI GAUTAM (Credential# 1037640) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
BIKKI GAUTAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051438. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is October 31, 2013. The business address is 24 Hospital Ave, Danbury, CT 06810-6099. The current status is inactive.
| Licensee Name | BIKKI GAUTAM |
| Credential ID | 1037640 |
| Credential Number | 1.051438 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-10-01 |
| Effective Date | 2012-10-01 |
| Expiration Date | 2013-10-31 |
| Refresh Date | 2014-02-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 891720 | CSP.0046291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-10 | 2011-03-18 - 2013-02-28 | INACTIVE |
| Street Address | 24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6099 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Drake | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Patra Childress | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Karri Hester | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Mary Winslow | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Minha Kim | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2025-06-30 |
| Arash Rahimi-ardabily | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Krist Aploks | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Cynthia Mckinney | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Anya Laibangyang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad Umair Bakhsh | 664 Flatbush Ave, West Hartford, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Patricia A Tietjen Md | 24 Hospital Ave 5 South, Danbury, CT 06810-6099 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Oluwatosin Odunsi-akanji | 24 Hospital Ave Dept Of, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric A Schwarz Md | Wcmg Anesthesiology, Danbury, CT 06810-6099 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mishal Khan | 27 Hospital Avenue, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci R Ferris | Wcmg - Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn Weingarten | Wcmg - 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad H Taha | 505 Sienna Dr, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor Usatii Md | Hospitalists Department, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-18 ~ 2017-02-28 |
| Find all Licenses in zip 06810-6099 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir Gautam | 15 Barberry Ln, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Gautam Reddy Bhimidi | 162 Bradford Walk, New Britain, CT 06053 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Gautam V. Shrikhande | 7474 Greenway Center Dr Ste 1000, Greenbelt, MD 20770-3504 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Gautam Atul Agrawal | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | 2020-06-23 ~ 2020-11-30 |
| Samir Gautam | Yale-new Haven Hospital, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Arun Gautam | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-06-28 ~ 2019-06-30 |
| Gautam Indarapu | 169 Elizabeth St, Derby, CT 06418 | Pharmacy Technician | 2004-04-01 ~ 2005-03-31 |
| Anuradma Gautam | 33 Hill Dr, New Milford, CT 06776-2921 | Public Weigher | 2020-06-19 ~ 2021-06-30 |
| Keshap C Gautam | 175 South Rd, Farmington, CT 06032-2585 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Jaya Gautam | 26 Chester Court, Salem, CT 06420 | Pharmacy Intern | 1998-11-03 ~ 2000-11-03 |
Please comment or provide details below to improve the information on BIKKI GAUTAM.
| 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).