EMELY E. GONZALEZ (Credential# 2019532) is licensed (Community Health Worker) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2020. The license expiration date date is March 31, 2023. The license status is ACTIVE.
EMELY E. GONZALEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CHW.000053. The credential type is community health worker. The effective date is March 19, 2020. The expiration date is March 31, 2023. The business address is 64 Black Rock Ave, Bridgeport, CT 06605-1200. The current status is active.
| Licensee Name | EMELY E. GONZALEZ |
| Credential ID | 2019532 |
| Credential Number | CHW.000053 |
| Credential Type | Community Health Worker |
| Business Address |
64 Black Rock Ave Bridgeport CT 06605-1200 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-19 |
| Effective Date | 2020-03-19 |
| Expiration Date | 2023-03-31 |
| Refresh Date | 2020-03-20 |
| Street Address | 64 BLACK ROCK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1200 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Park City Primary Care Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Park City Primary Care Center, Inc. | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Theresa Integral Dy Djama | 64 Black Rock Ave, Bridgeport, CT 06605-1649 | Controlled Substance Registration for Practitioner | 2019-07-05 ~ 2021-02-28 |
| Debra L Gerson | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Community Health Worker |
| License Type + County | Community Health Worker + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yanet A Gonzalez Rodriguez | 49 Old Colchester Rd, Quaker Hill, CT 06375 | Community Health Worker | 2020-03-03 ~ 2023-04-30 |
| Community Health Rx, Inc. | 469 Migeon Ave, Torrington, CT 06790-4643 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Community Health Resources | 995 Dayhill Road, Windsor, CT 06095 | Psychiatric Outpatient Clinic | 2009-01-01 ~ 2012-12-31 |
| Community Health Services, Inc. | 701 Suite A #210 Cottage Grove Road, Bloomfield, CT 06002 | Outpatient Clinic | 2012-09-28 ~ 2016-09-30 |
| Community Health Resources | 30 Arbor St Ste 105, Hartford, CT 06106-1215 | Psychiatric Outpatient Clinic | 2015-08-27 ~ 2019-06-30 |
| Community Health Services Inc. · Community Health Services, Inc. | 500 Albany Ave, Hartford, CT 06120-2508 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Community Health Center Inc. · Community Health Center, Inc. | 635 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2002-01-01 ~ 2003-12-31 |
| Community Health Pharmacy LLC · Community Health Pharmacy | 210 Dixwell Ave, New Haven, CT 06511-3416 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Emely Sofia Gonzalez | 300 Flax Hill Rd Apt 5, Norwalk, CT 06854 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on EMELY E. GONZALEZ.
| 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).