BENJAMIN D GORDON MD (Credential# 538998) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 16, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.
BENJAMIN D GORDON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007860. The credential type is physician/surgeon. The effective date is January 16, 2003. The expiration date is March 31, 2004. The business address is 14 Hillsea Rd, Yarmouth, MD 02675-1111. The current status is inactive.
| Licensee Name | BENJAMIN D GORDON MD |
| Credential ID | 538998 |
| Credential Number | 1.007860 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Hillsea Rd Yarmouth MD 02675-1111 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1955-06-07 |
| Effective Date | 2003-01-16 |
| Expiration Date | 2004-03-31 |
| Refresh Date | 2014-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156012 | CSP.0013700 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-08-18 - 1997-02-28 | INACTIVE |
| Street Address | 14 HILLSEA RD |
| City | YARMOUTH |
| State | MD |
| Zip Code | 02675-1111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen N Gordon | 14 Hillsea Road, Yarmouthport, MA 02675-1111 | Licensed Clinical Social Worker | 1996-11-25 ~ 1998-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann M Soriero | 28 Old Church St, Yarmouth Port, MA 02675 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Susan H Cowmeadow | 9 John Hall Cartway, Yarmouth Port, MA 02675 | Dietitian/nutritionist | 2020-03-01 ~ 2021-02-28 |
| Nancy E Frano | 60 Spyglass Hill Rd, Yarmouthport, MA 02675 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary Ann V Buzzeo-cavaliero | 202 Admiralty Heights, Yarmouth Port, MA 02675 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Richard P Boardman · Boardman Builders | 59 Avon Rd, Yarmouth Port, MA 02675 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| May Institute Inc (the) | 722a Main St, Yarmoutport, MA 02675 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
| Laura D Miller | 36 Merchant Ave, Yarmouth Port, MA 02675 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Claire R Forbes | 43 Kates Path, Yarmouthport, MA 02675 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Joseph A Rodricks · Schofield Brthrs | 183 Eileen St, Yarmouthport, MA 02675 | Professional Engineer | 1990-02-06 ~ 1991-01-31 |
| Jerome J Manning | 179 Old Kings Hwy, Yarmouth Port, MA 02675 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
| Find all Licenses in zip 02675 | |||
| City | YARMOUTH |
| Zip Code | 02675 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + YARMOUTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gordon Kuster Md | P.o. Box 103, Stephentown, NY 12168 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Gordon C Streeter Md | 51 Island Ave, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon K Sze | 123 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon F Buchanan | 345 Old Whitfield St, Guilford, CT 06437 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Gary S Gordon | 600 N. Mcclurg Ct, Chicago, IL 60611 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Gordon L Engler | La County Usc Med Ct, Los Angeles, CA 90033 | Physician/surgeon | 1995-06-15 ~ 1996-08-31 |
| Barry Gordon Do | 455 Lewis Ave, Meriden, CT 06451 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gordon L Kritzer | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 1991-12-20 ~ 1992-12-31 |
Please comment or provide details below to improve the information on BENJAMIN D GORDON 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).