GERALD GANTT JR (Credential# 1232141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
GERALD GANTT JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057723. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 263 Farmington Ave # Mc3955, Farmington, CT 06030-0001. The current status is lapsed.
| Licensee Name | GERALD GANTT JR |
| Credential ID | 1232141 |
| Credential Number | CSP.0057723 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave # Mc3955 Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-07-10 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945028 | CSP.0048253 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-10 | 2010-09-10 - 2011-02-28 | INACTIVE |
| Street Address | 263 FARMINGTON AVE # MC3955 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruna Babic | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brian Kapp | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kristen R Scarpato | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Akram Alashari | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Merry Uchiyama | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-07-28 ~ 2013-02-28 |
| Amy Swift | 263 Farmington Ave # Mc3955, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2009-07-27 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald Post Dvm | 129 Glover Ave, Norwalk, CT 06850-1311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald Kayingo Pa-c | 559 Avon Dr, Orange, CT 06477-1904 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gerald G Piserchia | 7 Burrows St, Groton, CT 06340-8810 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gerald S Braun | 183 Van Dyke St Apt 3f, Brooklyn, NY 11231-1011 | Controlled Substance Registration for Practitioner | 2019-04-11 ~ 2021-02-28 |
| Gerald Belkin Dds | 210 Applegate Rd, Fairfield, CT 06825-2739 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gerald J Golding | 71 Aiken St H-10, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Gerald J Obrien | 119 Millcreek Rd Apt B2n, Ardmore, PA 19003-1542 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gerald Fishbone Md | 15 Knollwood Dr, New Haven, CT 06515-2478 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gerald Bayona | 384 K Merrow Rd, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald V Mcauliffe Jr | 45 Windsor Rd, New Britain, CT 06052-1962 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GERALD GANTT JR.
| 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).