JAMES GUSFA MD (Credential# 1490729) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 21, 2014. The license expiration date date is June 30, 2021. The license status is INACTIVE.
JAMES GUSFA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058831-RES. The credential type is resident physician. The effective date is August 21, 2014. The expiration date is June 30, 2021. The business address is Po Box 351, Middletown, CT 06457-7023. The current status is inactive.
Licensee Name | JAMES GUSFA MD |
Credential ID | 1490729 |
Credential Number | 1.058831-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
Po Box 351 Middletown CT 06457-7023 |
Business Type | INDIVIDUAL |
Status | INACTIVE - INACTIVE |
Issue Date | 2014-08-21 |
Effective Date | 2014-08-21 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
378461 | CSP.0035609 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
560109 | 1.042527-DO | Physician/Surgeon | 2004-06-08 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | PO BOX 351 |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-7023 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Viktor Kotlyar Md | Po Box 351, Middletown, CT 06457-7023 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Connecticut Legal Rights Project Inc | Po Box 351, Middletown, CT 06457-7023 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Rose E Persico · Depeault | Po Box 351, Middletown, CT 06457-7023 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
Fred Storey | Po Box 351, Middletown, CT 06457-7023 | Psychologist | 2020-05-01 ~ 2021-04-30 |
Robert M Pierro Md · Counseling Affiliates Inc | Po Box 351, Middletown, CT 06457-7023 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
David A Moore | Po Box 351, Middletown, CT 06457-7023 | Emergency Medical Responder | 2010-06-04 ~ 2013-01-01 |
David J Sikowitz | Po Box 351, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1993-02-01 ~ 1995-02-01 |
Miroslaw Mikicki · National Industries Inc (s) | Po Box 351, Middletown, CT 06457 | Home Improvement Salesperson | ~ 1993-01-01 |
Alexander Kwan Choi | Po Box 351, Middletown, CT 06457-7023 | Physician/surgeon | 1983-09-12 ~ 1990-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara G Richard | Director-office of Forensic Evaluations, Middletown, CT 06457-7023 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
Catalin Pralea Md | River Valley Services-state of Ct, Middletown, CT 06457-7023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Resident Physician |
License Type + County | Resident Physician + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James Lee Baier | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
James Nugent | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
Max James Biondi | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
James S Farrelly | 24 Bayberry Ln, Milford, CT 06460-6561 | Resident Physician | 2020-08-01 ~ 2021-06-30 |
Efia S James | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
James H Kurfess | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
James B Gardner | 129 Jordan Ln, Stamford, CT 06903-3913 | Resident Physician | 2020-01-10 ~ 2021-06-30 |
James T O'neill IIi | 260 Cabin Rd, Colchester, CT 06415-1505 | Resident Physician | 2018-04-09 ~ 2018-05-06 |
James Albert Rindt Jr | 57 Colony St, Hamden, CT 06518-3325 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
James Clarke | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2015-07-01 ~ 2020-07-01 |
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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).