PHILIP M GAYNES (Credential# 540182) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
PHILIP M GAYNES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011937. The credential type is physician/surgeon. The effective date is April 27, 2004. The expiration date is April 30, 2005. The business address is 107 Davis Hill Road, Weston, CT 06883. The current status is inactive.
Licensee Name | PHILIP M GAYNES |
Credential ID | 540182 |
Credential Number | 1.011937 |
Credential Type | Physician/Surgeon |
Business Address |
107 Davis Hill Road Weston CT 06883 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1964-10-14 |
Effective Date | 2004-04-27 |
Expiration Date | 2005-04-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
156073 | CSP.0014542 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
Street Address | 107 Davis Hill Road |
City | Weston |
State | CT |
Zip Code | 06883 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06883 |
City | Weston |
Zip Code | 06883 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Weston |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Philip R Orlander | Univ Tx Med Sch Hst, Houston, TX 77025 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Jisha Philip | 1 Horizon Dr Apt 15, Norwalk, CT 06854-2647 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Philip Felig | 1056 Fifth Ave, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
R. Philip Szwaskun | 645 S 3rd Street, Louisville, KY 40202 | Physician/surgeon | ~ 1997-05-31 |
Philip D Williams Md | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Philip M Le Noach | 56 H St 9486, Maxwell Afb, AL 36112-5304 | Physician/surgeon | 1994-12-23 ~ 1995-12-31 |
Philip T Peverada | P.o. Box 185, Glen Cove, ME 04846 | Physician/surgeon | ~ 1994-12-31 |
Philip D Allmendinger Md | 134 Waterville Rd, Farmington, CT 06032-1624 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
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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).