EDWARD GILLIS (Credential# 1488489) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
EDWARD GILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057884-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 35 Prospect Ave, Lynbrook, NY 11563-3931. The current status is active.
| Licensee Name | EDWARD GILLIS |
| Credential ID | 1488489 |
| Credential Number | 1.057884-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
35 Prospect Ave Lynbrook NY 11563-3931 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425246 | CSP.0065531 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 35 PROSPECT AVE |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-3931 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert P Ferraro | 292 Broadway Ste 200, Lynbrook, NY 11563 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kallie Ann Barcellino | 28 John Street, Lynbrook, NY 11563 | Notary Public Appointment | 2020-03-31 ~ 2025-03-31 |
| Paule Medgina Duverger | 161 Canterbury Gate, Lynbrook, NY 11563 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Monica M Mcquaid | 12 Farnum Street, Lynbrook, NY 11563 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Sheila Sarnoski-brocavich | 3 Farnum St, Lynbrook, NY 11563 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lawrence K Shapiro | 266 Merrick Rd, Lynbrook, NY 11563 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Bradford T Kiefer | 146 Presidents Street, Lynbrook, NY 11563 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kenneth A Jackson | 282 Whitehall Street, Lynbrook, NY 11563 | Notary Public Appointment | 1996-02-14 ~ 2001-02-28 |
| Petcarerx | 52 Merton Avenue, Lynbrook, NY 11563 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| New York Pharmacy Network LLC | 444 Merrick Rd Ll5, Lynbrook, NY 11563 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-07-15 ~ 2020-06-30 |
| Find all Licenses in zip 11563 | |||
| City | LYNBROOK |
| Zip Code | 11563 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + LYNBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles A Gillis · Ca Gillis Painting | 397 Buddington Rd, Groton, CT 06340 | Home Improvement Contractor | ~ 1995-09-01 |
| David A Gillis · Dave Gillis Builder | 660 Old Town Rd, Trumbull, CT 06611-4812 | Plumbing & Piping Limited Contractor | 2019-11-01 ~ 2020-10-31 |
| Edward Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Edward Manning | 102 Seymour Rd, Woodbridge, CT 06525 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Alex Edward Blanchette | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Edward John Detweiler | 476 Roy St, West Hempstead, NY 11552-2228 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Alexander Edward Frey | 305 George St Apt 3b, New Haven, CT 06511-6681 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Chet A Gillis · Gillis Construction | 58 E Main St Apt 1, Mystic, CT 06355-2866 | Home Improvement Contractor | 2014-03-27 ~ 2014-11-30 |
| Edward Michael Zitnik | 20 York Street, New Haven, CT 06511 | Resident Physician | 2020-01-06 ~ 2021-01-31 |
| Edward Victor Singh | 301 Commons Park South Unit 502, Stamford, CT 06902 | Resident Physician | 2019-07-22 ~ 2021-06-30 |
Please comment or provide details below to improve the information on EDWARD GILLIS.
| 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).