C NICOLE GORMAN (Credential# 362786) 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.
C NICOLE GORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034566. 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 323 Riverside Ave, Westport, CT 06880-4810. The current status is active.
| Licensee Name | C NICOLE GORMAN |
| Credential ID | 362786 |
| Credential Number | CSP.0034566 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
323 Riverside Ave Westport CT 06880-4810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559717 | 1.042135 | Physician/Surgeon | 2004-02-05 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 323 RIVERSIDE AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-4810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer B Gruen | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer Gruen Md | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robin Abramowicz | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas P Matarazzo | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Hart Chingas | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Salesperson | 2020-06-02 ~ 2021-05-31 |
| Steven Benaderet Md | 327 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan A Lewis | 381 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2014-12-22 ~ 2017-02-28 |
| Amanda F Zygmant | 327 Riverside Ave, Westport, CT 06880-4810 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Nrt New England LLC · Coldwell Banker Realty | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Bross Chingas Bross Team Inc | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Coldwell Banker Residential Referral Network Inc · Coldwell Banker Realty Referral Network | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Jaime M Leahy | 327 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hannah Ahn | 329 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley P Freeman | 329 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06880-4810 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan A Gorman | 8 Hatters Ln, Farmington, CT 06032-2332 | Controlled Substance Registration for Practitioner | 2019-10-01 ~ 2021-02-28 |
| Jonathan H Gorman Dds | 17 Sheephill Rd, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Gorman | 333 Cedar St Lci 700, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Lisa D Gorman | 399 Main Ave, Norwalk, CT 06851-1554 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anita Gorman Aprn | 92 Fenwood Dr, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Arthur T Gorman Md | 3 Baneberry Lane, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Thomas F Gorman | 54 Lafayette Place, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-04-23 ~ 2021-02-28 |
| Francis P Gorman Aprn | 202 Beach Street, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alison J Gorman Aprn | 20 North Meadow Rd, Windsor, CT 06095-2524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary O'gorman Dudley Aprn | 223 Hawthorne Lane, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on C NICOLE GORMAN.
| 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).