KIKKERI N VINAYA
Physician/surgeon


Address: 11 Benedict Avenue, Staten Island, NY 10314

KIKKERI N VINAYA (Credential# 558201) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

KIKKERI N VINAYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040618. The credential type is physician/surgeon. The effective date is August 1, 2009. The expiration date is July 31, 2010. The business address is 11 Benedict Avenue, Staten Island, NY 10314. The current status is inactive.

Basic Information

Licensee Name KIKKERI N VINAYA
Credential ID 558201
Credential Number 1.040618
Credential Type Physician/Surgeon
Business Address 11 Benedict Avenue
Staten Island
NY 10314
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-07-01
Effective Date 2009-08-01
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 11 BENEDICT AVENUE
City Staten Island
State NY
Zip Code 10314

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City Staten Island
Zip Code 10314
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Staten Island

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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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