FRED M GABRIELLE JR (Credential# 540953) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
FRED M GABRIELLE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014040. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 331 Bushy Hill Road, Simsbury, CT 06070. The current status is inactive.
| Licensee Name | FRED M GABRIELLE JR |
| Credential ID | 540953 |
| Credential Number | 1.014040 |
| Credential Type | Physician/Surgeon |
| Business Address |
331 Bushy Hill Road Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1969-09-04 |
| Effective Date | 2013-08-01 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157077 | CSP.0015725 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-10 - 2009-02-28 | INACTIVE |
| Street Address | 331 BUSHY HILL ROAD |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Destiny Gabrielle Tolliver | 300 Longwood Ave, Boston, MA 02115-5724 | Physician/surgeon | ~ |
| Gabrielle Worzella | 20 Amber Trl, Madison, CT 06443-2037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gabrielle L Shapiro | 343 E 74th St Apt Ph4c, New York, NY 10021-3752 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gabrielle P Konin | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Fred M Cutrer | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2016-12-28 ~ 2017-07-31 |
| Fred H Kohanna | 1 Buttonwood Way, Littleton, MA 01460-2244 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Fred Gibson | 260 Knollwood Dr, New Haven, CT 06515-2414 | Physician/surgeon | 2003-03-31 ~ 2004-03-31 |
| Fred F Tilden Md | 36 Bainbridge Rd, W Hartford, CT 06119 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Fred L Fishman | 333 Birchwood Ave, Deerfield, IL 60015-4714 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Fred J Powell | 35 Townsend Pl, Saint Augustine, FL 32092-1855 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on FRED M GABRIELLE JR.
| 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).