MARY F GANNON PA (Credential# 322697) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
MARY F GANNON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032822. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is Thames Urology Ctr LLC, New London, CT 06320. The current status is inactive.
| Licensee Name | MARY F GANNON PA |
| Credential ID | 322697 |
| Credential Number | CSP.0032822 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Thames Urology Ctr LLC New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2003-03-01 |
| Expiration Date | 2004-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742979 | 23.001230 | Physician Assistant | 2002-08-29 | 2003-01-23 - 2004-01-31 | INACTIVE |
| Street Address | THAMES UROLOGY CTR LLC |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary E Eslick | 59 Sachem St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Mcneel Pa | 28 Ledgeway Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Greene | 401 North St, Plymouth, CT 06782-2011 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mary Barry Md | 112 Mansfield Ave, Willimantic, CT 06226-1232 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary T West | 114 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary A Arwady | 321 Grandview Ave Fl 3, Waterbury, CT 06708-2228 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mary Geiser Pa-c | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY F GANNON PA.
| 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).