SANJEEV BAGGA (Credential# 1127053) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
SANJEEV BAGGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051465. The credential type is physician/surgeon. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 1671 Weatherwood Drive, Ballwin, MO 63021. The current status is inactive.
Licensee Name | SANJEEV BAGGA |
Credential ID | 1127053 |
Credential Number | 1.051465 |
Credential Type | Physician/Surgeon |
Business Address |
1671 Weatherwood Drive Ballwin MO 63021 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-11-06 |
Effective Date | 2014-11-01 |
Expiration Date | 2015-10-31 |
Refresh Date | 2016-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1143415 | CSP.0054092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-01-02 | 2013-01-02 - 2015-02-28 | INACTIVE |
Street Address | 1671 weatherwood drive |
City | Ballwin |
State | MO |
Zip Code | 63021 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Louise Herhold | 205 Vistaoak Court, Ballwin, MO 63021 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Jane Mayer | 675 Cedar Run Dr, Ballwin, MO 63021 | Registered Nurse | 2020-01-22 ~ 2021-01-31 |
Robert L Queathem | 2700 Barrett Springs Court, Manchester, MO 63021 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Glenn A Smith | 750 Spring Hill Farm Dr, Ballwin, MO 63021 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Andalee Brook Arndt | 1021 Shadowoak Drive, Ballwin, MO 63021 | Registered Nurse | 2018-09-04 ~ 2019-09-30 |
Charles P Guariglia | 13537 Barrett Pkwy Dr, Manchester, MO 63021 | Architect | ~ |
Kathleen G Le Brun | 530 Huntley Hgts Dr, Manchester, MO 63021 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
Lamia Adelby | 550 Brook Meadow Drive, Ballwin, MO 63021 | Registered Nurse | 2015-09-01 ~ 2016-09-30 |
Norbert J Wasileski · Sverdrup & Parcel & Assoc | 827 Dinard Dr, Manchester, MO 63021 | Professional Engineer | 1989-05-10 ~ 1990-01-31 |
Henry S Huffman Jr · Fru-con Engr Inc | 124 Robbin-song, Ellisville, MO 63021 | Professional Engineer | 1992-01-24 ~ 1993-01-31 |
Find all Licenses in zip 63021 |
City | Ballwin |
Zip Code | 63021 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Ballwin |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sanjeev Jain | 440 Mix Ave, Hamden, CT 06514 | Physician/surgeon | 2000-08-09 ~ 2001-08-31 |
Sanjeev Vaderah | 623 Central Ave #513, Cedarhurst, NY 11516 | Physician/surgeon | 1995-11-29 ~ 1996-11-30 |
Sanjeev Rao Md | 309 Stillson Road, Fairfield, CT 06824 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sanjeev Nayyar | 7 Dean Court, Rutherford, NJ 07070 | Physician/surgeon | ~ 1997-04-30 |
Sanjeev Sethi | 22 Bristol Street, Cambridge, MA 02141 | Physician/surgeon | 1999-11-18 ~ 2001-01-31 |
Sanjeev P Bhavnani | 6965 Everglades Ave, San Diego, CA 92119-2305 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Sanjeev M Kamat | 2639 Miami Street, St. Louis, MO 63118 | Physician/surgeon | 2006-11-17 ~ 2008-01-31 |
Sanjeev Bhatia | 181 Loomis Drive, West Hartford, CT 06107 | Physician/surgeon | ~ 1999-08-31 |
Sanjeev K Pradhan | 26334 Town Walk Drive, Hamden, CT 06518 | Physician/surgeon | 2008-01-22 ~ 2009-01-31 |
Sanjeev U Nair Md | 6937 Laurel Valley Dr, Fort Worth, TX 76132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).