GENE S GORDON
Controlled Substance Registration for Practitioner


Address: 3 Waterville Rd, Farmington, CT 06032

GENE S GORDON (Credential# 157898) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

GENE S GORDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019760. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 3 Waterville Rd, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name GENE S GORDON
Credential ID 157898
Credential Number CSP.0019760
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Waterville Rd
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
543297 1.020171 Physician/Surgeon 1978-05-30 2002-01-11 - 2003-01-31 INACTIVE

Office Location

Street Address 3 WATERVILLE RD
City FARMINGTON
State CT
Zip Code 06032

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Richard A D'alessandro Dmd 3 Waterville Rd, Farmington, CT 06032 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Dataset Information

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).

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