GREGORY J GALLIVAN (Credential# 540026) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
GREGORY J GALLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011528. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 108 White Oaks Dr Ste 7, Longmeadow, MA 01106-1741. The current status is inactive.
Licensee Name | GREGORY J GALLIVAN |
Credential ID | 540026 |
Credential Number | 1.011528 |
Credential Type | Physician/Surgeon |
Business Address |
108 White Oaks Dr Ste 7 Longmeadow MA 01106-1741 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1963-10-29 |
Effective Date | 2016-05-01 |
Expiration Date | 2017-04-30 |
Refresh Date | 2017-08-03 |
Street Address | 108 WHITE OAKS DR STE 7 |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1741 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONGMEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONGMEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John N Gallivan Md | 141 The Meadows, Enfield, CT 06082 | Physician/surgeon | 1997-05-08 ~ 1998-07-31 |
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 |
Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
Gregory Lombardo | 6 Lyndel Rd, Pound Ridge, NY 10576 | Physician/surgeon | ~ |
Gregory E Mccarthy | 109 E Cherry Pl, Deland, FL 32724-8849 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Gregory M Gallousis Md | 999 Summer St Ste 105, Stamford, CT 06905-5546 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Gregory R Saboeiro | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Gregory Fiasconaro IIi | 54 Tridell Dr, Plantsville, CT 06479 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).