GASTON JEREMIAH (Credential# 1372365) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
GASTON JEREMIAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003746. The credential type is physician assistant. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 40 Prospect Street, Norwalk, CT 06850. The current status is inactive.
| Licensee Name | GASTON JEREMIAH |
| Credential ID | 1372365 |
| Credential Number | 23.003746 |
| Credential Type | Physician Assistant |
| Business Address |
40 Prospect Street Norwalk CT 06850 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-12-01 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1389392 | CSP.0064355 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-02 | 2016-12-02 - 2019-02-28 | LAPSED |
| Street Address | 40 PROSPECT STREET |
| City | NORWALK |
| State | CT |
| Zip Code | 06850 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gina K Porto | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Tracey Renee Price | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Aditi Vyas | 40 Prospect Street, Norwalk, CT 06840 | Physician/surgeon | 2016-09-08 ~ 2017-08-31 |
| Lauren E Von Almen | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2008-11-03 ~ 2009-11-30 |
| Emily N Feldman | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-12-17 ~ 2009-01-31 |
| Ashley K Ready | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-06-22 ~ 2008-07-31 |
| Lyndee R Tucker | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2007-06-21 ~ 2008-04-30 |
| Zaw W Htwe | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2007-04-23 ~ 2008-02-29 |
| Vamsi P Guntur | 40 Prospect Street, Norwalk, CT 06850 | Physician/surgeon | 2007-01-22 ~ 2007-10-31 |
| Meeta Shah | 40 Prospect Street, Norwalk, CT 06850 | Hairdresser/cosmetician | 2005-04-04 ~ 2006-07-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Landry Gaston | 152 Montowese Street, Branford, CT 06405 | Physician Assistant | ~ |
| George N Gaston · Gaston's and Wright's Construction | 198-4 Wolcott Street, Waterbury, CT 06702 | Home Improvement Contractor | 2000-03-10 ~ 2000-11-30 |
| Jeremiah Red | CT | Liquor Brand Label | 2019-06-11 ~ 2022-06-10 |
| Gaston F Dacosta Md | Associated In Family Health, Bridgeport, CT 06605 | Physician/surgeon | 2001-12-21 ~ 2002-12-31 |
| David Curtis Gaston | 152 Montowese St Fl 1, Branford, CT 06405-3825 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Gaston Pharmacy #1 | 2600 N Stemmons Fwy Ste 176, Dallas, TX 75207-2107 | Nonresident Pharmacy | ~ |
| Gaston & Wright Construction | 758 N Main St, Waterbury, CT 06704 | Home Improvement Contractor | ~ |
| Jeremiah Schuur Md | 464 Congress Ave Ste 260, New Haven, CT 06519 | Physician/surgeon | 2007-03-20 ~ 2008-03-31 |
| Gaston Pharmacy #2 | 712 N Washington Ave Ste 500, Dallas, TX 75246-1645 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
| Jeremiah D Johnson | 63747 260th St, Litchfield, MN 55355-5302 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on GASTON JEREMIAH.
| 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).