LUTHER W GIBSON MD (Credential# 540319) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
LUTHER W GIBSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012366. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 12 Dilaj Drive, Columbia, CT 06237. The current status is active.
| Licensee Name | LUTHER W GIBSON MD |
| Credential ID | 540319 |
| Credential Number | 1.012366 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Dilaj Drive Columbia CT 06237 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1965-11-15 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-05-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152507 | CSP.0005040 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 12 DILAJ DRIVE |
| City | COLUMBIA |
| State | CT |
| Zip Code | 06237 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sima K Lessner | 15 Russmar Tr, Columbia, CT 06237 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Patricia A Kearns | 148 Old Willimantic Road, Columbia, CT 06237 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| John W Everett | 95 West St, Columbia, CT 06237 | Architect | 2020-08-01 ~ 2021-07-31 |
| Dona M Brodeur | 180 Pine St, Columbia, CT 06237 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Laura Bruckner | 181a Pine Street, Columbia, CT 06237 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Zachary Harbec | 14a Hennequin Rd., Columbia, CT 06237 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Jonathan Peschke | 5 Columbia Landing, Columbia, CT 06237 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Lynda A Everett | 534 Route 87, Columbia, CT 06237 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna C Hauschild | 37 Doubleday Rd, Columbia, CT 06237 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Theresa J Lagasse · Coughlin | 4 Randazzo Road, Columbia, CT 06237 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06237 | |||
| City | COLUMBIA |
| Zip Code | 06237 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COLUMBIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sam Michaels | 255 W Martin Luther King Blvd Unit 315, Charlotte, NC 28202-1994 | Physician/surgeon | 2010-10-26 ~ 2011-10-31 |
| Mary K Sheffield | 725 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-5714 | Physician/surgeon | 1988-03-11 ~ 1990-04-30 |
| Kyle M Gibson | 265 1st Ave Apt 1, New York, NY 10003-2996 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Robert M Johnston | 65 Gibson St., Leesburg, VA 22075 | Physician/surgeon | 1969-10-02 ~ 1981-11-30 |
| Courtney E. Gibson | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Fred Gibson | 260 Knollwood Dr, New Haven, CT 06515-2414 | Physician/surgeon | 2003-03-31 ~ 2004-03-31 |
| Russell W Gibson | 245 E. 21st Street, New York, NY 10010 | Physician/surgeon | 2007-11-30 ~ 2008-11-30 |
| Joanna A. Gibson | 1087 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Jonathan E Luther · Luther Fence | 26 Marquardt Ln, Groton, CT 06340 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Luther E Thurlow · Luther's Real Estate | 81 Colburn Rd, Canterbury, CT 06331 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
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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).