PHILIP M GAYNES
Physician/surgeon


Address: 107 Davis Hill Road, Weston, CT 06883

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
156073 CSP.0014542 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 107 Davis Hill Road
City Weston
State CT
Zip Code 06883

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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
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Competitor

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City Weston
Zip Code 06883
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Weston

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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
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Dataset Information

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).

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