JOHN N GALLIVAN MD (Credential# 538306) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 8, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.
JOHN N GALLIVAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.003390. The credential type is physician/surgeon. The effective date is May 8, 1997. The expiration date is July 31, 1998. The business address is 141 The Meadows, Enfield, CT 06082. The current status is inactive.
| Licensee Name | JOHN N GALLIVAN MD |
| Credential ID | 538306 |
| Credential Number | 1.003390 |
| Credential Type | Physician/Surgeon |
| Business Address |
141 The Meadows Enfield CT 06082 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1936-04-17 |
| Effective Date | 1997-05-08 |
| Expiration Date | 1998-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152007 | CSP.0005037 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-09-01 - 1998-02-28 | INACTIVE |
| Street Address | 141 THE MEADOWS |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory J Gallivan | 108 White Oaks Dr Ste 7, Longmeadow, MA 01106-1741 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Nickolas J Gallivan · Gallivan Asphalt Maintenance & Construction | 39 Branch Hill Rd, Preston, CT 06365 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Thomas G Gallivan, Jr | 53 Windsor Ave., Vernon, CT 06066 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| John E Gallivan Jr | 905 Burnside Ave., East Hartford, CT 06100 | Notary Public Appointment | 1972-08-31 ~ 1977-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John V Romano Md | Po Box 279, Canton, CT 06019-0279 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
Please comment or provide details below to improve the information on JOHN N GALLIVAN MD.
| 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).