GERALD W VALENTINE MD (Credential# 241757) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GERALD W VALENTINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029989. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 78 W Helen St, Hamden, CT 06514. The current status is active.
| Licensee Name | GERALD W VALENTINE MD |
| Credential ID | 241757 |
| Credential Number | CSP.0029989 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
78 W Helen St Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-08-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556383 | 1.038795 | Physician/Surgeon | 2000-06-23 | 2019-02-01 - 2020-01-31 | ACTIVE |
| Street Address | 78 W HELEN ST |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce R Valentine Md | 24 Clinic Dr, Abington, CT 06230 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Justin R Valentine | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brendon T Thompson Pa | 111 Valentine St, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Kovac | 5 Valentine Ct, Ansonia, CT 06401-2031 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benedict Valentine Dpm | 8 Independence Dr, Marlborough, CT 06447 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia A Esteban Aprn · I | 6 Valentine Dr., Barrington, RI 02806 | Controlled Substance Registration for Practitioner | 2015-06-01 ~ 2017-02-28 |
| Valentine Edusa Md | 356 Harbor St Unit A, Branford, CT 06405-4540 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johannah Valentine | 111 Salem Tpke # 7, Norwich, CT 06360-7403 | Controlled Substance Registration for Practitioner | 2019-04-17 ~ 2021-02-28 |
| George W Valentine Md | 110 Pine View Dr, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Chansler Valentine Davis | 271 Carew Street, Springfield, MA 01104 | Controlled Substance Registration for Practitioner | 2019-08-02 ~ 2021-02-28 |
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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).