KATHLEEN MARIE GANG (Credential# 1992040) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KATHLEEN MARIE GANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064830. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 60 S Pine Creek Rd, Fairfield, CT 06824-5628. The current status is active.
Licensee Name | KATHLEEN MARIE GANG |
Credential ID | 1992040 |
Credential Number | 1.064830 |
Credential Type | Physician/Surgeon |
Business Address |
60 S Pine Creek Rd Fairfield CT 06824-5628 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-02-10 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2006797 | CSP.0073152 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-11 | 2020-02-11 - 2021-02-28 | ACTIVE |
Street Address | 60 S PINE CREEK RD |
City | FAIRFIELD |
State | CT |
Zip Code | 06824-5628 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lois M Lehman | 90 S Pine Creek Rd, Fairfield, CT 06824-5628 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
A County Cremation Service | 36 S Pine Creek Rd, Fairfield, CT 06824-5628 | Funeral Home | 2019-07-01 ~ 2020-06-30 |
Fairfield Funeral Home of Edmund W. Dougiello | 36 S Pine Creek Rd, Fairfield, CT 06824-5628 | Funeral Home | 2019-07-01 ~ 2020-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
Find all Licenses in zip 06824 |
City | FAIRFIELD |
Zip Code | 06824 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gang Li Md | 56 Franklin St, Waterbury, CT 06706 | Physician/surgeon | 2007-11-08 ~ 2008-12-31 |
Triple One Co Ltd · Gma Accessories Inc | 105 Xue Gang South Rd Xuexiang Village, Shenzheni Gang Dong China | Manufacturer of Bedding & Upholstered Furniture | 2006-05-01 ~ 2007-04-30 |
Kathleen Barrett Kay | Po Box 5, Latham, NY 12110-0005 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Our Gang Nursery School | 26 East Lane, Darien, CT 06820 | Child Care Center | 2014-02-01 ~ 2018-01-31 |
Kathleen Cardinale | 46 Seeley Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kathleen M Kim | Dept. of Psychiatry, Chicago, IL 60612 | Physician/surgeon | 2002-12-09 ~ 2004-01-31 |
Kathleen J Mcshane Md | 27 Main St, Hebron, CT 06248 | Physician/surgeon | 1998-05-19 ~ 1999-06-30 |
Kathleen L Klotz | 310 Dyer St, New Haven, CT 06515 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Kathleen A Sutton | 200 Mansion Rd, Wallingford, CT 06492 | Physician/surgeon | 1991-06-27 ~ 1993-07-31 |
Kathleen A Kohls | 241 Ferry Landing Cir, Portsmouth, RI 02871-3126 | Physician/surgeon | ~ |
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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).