MICHAEL VINCENT GORMALLY (Credential# 1658928) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHAEL VINCENT GORMALLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063451-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 205 Church St, New Haven, CT 06510-1805. The current status is active.
| Licensee Name | MICHAEL VINCENT GORMALLY |
| Credential ID | 1658928 |
| Credential Number | 1.063451-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
205 Church St New Haven CT 06510-1805 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1659624 | CSP.0071161 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-22 | 2019-05-22 - 2021-02-28 | ACTIVE |
| Street Address | 205 CHURCH ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-1805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Powers Calaway | 205 Church St, New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nicholas J Bua | 205 Church St, New Haven, CT 06510 | Notary Public Appointment | 1989-03-01 ~ 1994-03-31 |
| Joseph C Lee | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1987-10-01 ~ 1992-03-31 |
| James A Varrone | 205 Church St, New Haven, CT 06510 | Notary Public Appointment | 1985-07-01 ~ 1990-03-31 |
| Edward S Snyder | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1984-02-01 ~ 1989-03-31 |
| Nathan Passell | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1984-03-01 ~ 1989-03-31 |
| William J Egan | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1975-10-01 ~ 1980-03-31 |
| Stanley Daggett | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1966-02-01 ~ 1971-03-31 |
| John E Ecklund | 205 Church St, New Haven, CT 06500 | Notary Public Appointment | 1961-08-01 ~ 1966-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivian E Speen | 205 Church St Apt Phb, New Haven, CT 06510-1805 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Vincent Barresi | 750 Quinnipiac Ave Apt 4, New Haven, CT 06513-3367 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Christopher Vincent Wilhelm | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mohammed Ashfaq Ahmed | 20 Vincent St, West Hartford, CT 06119-1529 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ginu Aykkareth-thomas | St Vincent's Medical Center, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Vincent Michael Russo | 11 Heather Court, Woodbury, CT 06798 | Certified Public Accountant Firm Permit | 1993-10-19 ~ 1993-12-31 |
| Michael Nowicki | 155 Joy Rd, Waterbury, CT 06708-2464 | Resident Physician | 2013-06-28 ~ 2019-06-27 |
| Michael Kuo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Michael E. Gotlib | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2018-06-30 |
| Michael S Disiena | 125 Primrose Dr, Somers, NY 10589-2810 | Resident Physician | 2015-06-28 ~ 2021-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Please comment or provide details below to improve the information on MICHAEL VINCENT GORMALLY.
| 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).