GEORGE GAVERN (Credential# 1274841) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
GEORGE GAVERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054089-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 15 Devonshire Court, Avon, CT 06001. The current status is active.
Licensee Name | GEORGE GAVERN |
Credential ID | 1274841 |
Credential Number | 1.054089-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
15 Devonshire Court Avon CT 06001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-04-30 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1282219 | CSP.0060098 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 15 Devonshire Court |
City | Avon |
State | CT |
Zip Code | 06001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06001 |
City | Avon |
Zip Code | 06001 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Avon |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
George S Isckarus | George Isckarus, M.d., Joppa, MD 21085 | Physician/surgeon | 2004-12-24 ~ 2006-02-28 |
George Gorich | 9 Campus Pl Apt 2b, Scarsdale, NY 10583-1549 | Physician/surgeon | ~ |
Isaac George | 177 Ft. Washing Ave., New York, NY 10032 | Physician/surgeon | ~ |
John Hwa | 300 George St Ste 759h, New Haven, CT 06511-6664 | Physician/surgeon | ~ |
George Tawfik | 427 Nome Ave, New York, NY 10314 | Physician/surgeon | ~ |
George J Dirago | 359 N Central Ave, Hartsdale, NY 10530-1811 | Physician/surgeon | ~ |
George Braff | P.o. Box 157, Lisbon, NH 03585 | Physician/surgeon | 2005-06-29 ~ 2006-08-31 |
George R Lee IIi | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
George F May | 702 E Hartford Ave, Uxbridge, MA 01569 | Physician/surgeon | 2004-04-05 ~ 2005-04-30 |
George B Corcoran Jr | Po Box 608, Suffield, CT 06078 | Physician/surgeon | 1994-09-07 ~ 1995-09-30 |
Please comment or provide details below to improve the information on GEORGE GAVERN.
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).