MALCOLM GORIN M.D. (Credential# 540351) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
MALCOLM GORIN M.D. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012460. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 102 Timms Hill Road, Haddam, CT 06438. The current status is inactive.
| Licensee Name | MALCOLM GORIN M.D. |
| Credential ID | 540351 |
| Credential Number | 1.012460 |
| Credential Type | Physician/Surgeon |
| Business Address |
102 Timms Hill Road Haddam CT 06438 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1966-02-14 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153433 | CSP.0005264 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 102 Timms Hill Road |
| City | Haddam |
| State | CT |
| Zip Code | 06438 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Buganski | 19 Ruth Hill Road, Haddam, CT 06438 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Alma Sabovic | 55 Hubbard Rd, Haddam, CT 06438 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vera K Davidson | 47 Dickinson Road, Haddam, CT 06438 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Rachel E Decker | 377 Plains Rd, Haddam, CT 06438 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gregory P Shields | 172 Hayden Hill Rd, Haddam, CT 06438 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joyce P Houska | 1 Filley Road, Haddam, CT 06438 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cooking Company (the) | 1610 Saybrook Rd, Haddam, CT 06438 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Creative Cakes By Donna | Route 154, Haddam, CT 06438 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan A Shea | 81 Walkley Hill Road, Haddam, CT 06438 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Heather K Marica | 107 Old Cart Road, Haddam, CT 06438 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06438 | |||
| City | Haddam |
| Zip Code | 06438 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Haddam |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gorin's Furniture Inc | 30 Haughton Rd, Bozrah, CT 06334-1207 | Sterilization Permit for Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
| Malcolm A Galen | 8 Stonepost, Simsbury, CT 06070 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
| Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Malcolm M Ellison | 960 Ocean Ave, New London, CT 06320 | Physician/surgeon | 1994-06-20 ~ 1995-08-31 |
| Malcolm K Johnson | 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087 | Physician/surgeon | 2019-10-03 ~ 2020-09-30 |
| Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Malcolm D Brand Md | 35 Colorado Drive, Holden, MA 01520 | Physician/surgeon | 2001-03-16 ~ 2002-04-30 |
| Lisa E Thompson | 181 Malcolm X Blvd, New York, NY 10026 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on MALCOLM GORIN M.D..
| 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).