GUY ELISE CONSTANT DE GENT (Credential# 1672347) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
GUY ELISE CONSTANT DE GENT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064414. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is One Cityplace Dr, Suite 570, Saint Louis, MO 63141. The current status is active.
| Licensee Name | GUY ELISE CONSTANT DE GENT |
| Credential ID | 1672347 |
| Credential Number | 1.064414 |
| Credential Type | Physician/Surgeon |
| Business Address |
One Cityplace Dr, Suite 570 Saint Louis MO 63141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-09 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1800846 | CSP.0072666 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-10-23 | 2019-10-23 - 2021-02-28 | ACTIVE |
| Street Address | ONE CITYPLACE DR, SUITE 570 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Undrae Patrick Billups | One Cityplace Dr, Suite 570, Saint Louis, MO 63141 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eboni C January | 910 Morrison Ave, St Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William P Mcmahon | 670 Mason Ridge Center Dr #220, St Louis, MO 63141 | Architect | 2020-08-01 ~ 2021-07-31 |
| Debra Kay Scudder | 12917 Gallagher Road, St. Louis, MO 63141 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Go Live Well | 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Michael Cummins Cpa PC | Three The Pines Court Ste E, St. Louis, MO 63141 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Michael Cummins Cpa | 3 The Pines Ct Ste E, St. Louis, MO 63141 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kali Marie Boland | 12750 Hezel Lane, Creve Coeur, MO 63141 | Physical Therapist | 2019-11-04 ~ 2020-10-31 |
| Romona Patrice Green | One Cityplace Drive, Saint Louis, MO 63141 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Isabelle Evelyn Condict | 711 Country Manor Lane, Creve Coeur, MO 63141 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Mobius Therapeutics, LLC | 1000 Executive Parkway Drive, St. Louis, MO 63141 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-02-28 ~ |
| Find all Licenses in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerome N Nwokike Md | 9014 Constant Course, Columbia, MD 21046 | Physician/surgeon | 2005-02-23 ~ 2006-02-28 |
| Elise L. Krejci | 11 Haywagon Dr, Old Lyme, CT 06371-2081 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Elise O Lovell | 290 Commonwealth Ave, Boston, MA 02115 | Physician/surgeon | 1995-06-26 ~ 1996-06-30 |
| Kari Elise T Codispoti | 360 Northington Dr, Avon, CT 06001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Elise K Gates | 90 Bentwood Rd, West Hartford, CT 06107-3703 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Elise Schonberger | 7 Hillside Ave, Roslyn Heights, NY 11577-1015 | Physician/surgeon | 1986-04-21 ~ 1988-11-30 |
| Elise Marie Meoli | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elise Treff Gordon | 9400 University Pkwy, Pensacola, FL 32514 | Physician/surgeon | ~ |
| Elise Lin Cheng | 1611 Ranier Dr, Iowa City, IA 52246-4178 | Physician/surgeon | 2020-06-26 ~ 2021-06-30 |
| Elise Sara Gelwan | 1200 S Conkling St Apt 221, Baltimore, MD 21224-5296 | Physician/surgeon | 2020-04-06 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GUY ELISE CONSTANT DE GENT.
| 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).