CALEB GONZALEZ MD (Credential# 542702) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
CALEB GONZALEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018171. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 612 Thorn Hill Lane, West Haven, CT 06516. The current status is inactive.
| Licensee Name | CALEB GONZALEZ MD |
| Business Name | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Credential ID | 542702 |
| Credential Number | 1.018171 |
| Credential Type | Physician/Surgeon |
| Business Address |
612 Thorn Hill Lane West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-09-13 |
| Effective Date | 2018-06-01 |
| Expiration Date | 2019-05-31 |
| Refresh Date | 2019-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153192 | CSP.0006067 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2013-03-01 - 2013-06-19 | INACTIVE |
| Street Address | 612 THORN HILL LANE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yale University School of Medicine · Michele Solimena | Dept of Internal Medicine, New Haven, CT 06520 | Controlled Substance Laboratory | 2001-02-01 ~ 2002-01-31 |
| Yale University School of Medicine · Ning Tian Md Phd | 330 Cedar St Bml 212 Yale, New Haven, CT 06520 | Controlled Substance Laboratory | 2002-02-01 ~ 2003-01-31 |
| Yale University School of Medicine · Barbara E Scanley | Diagnostic Radiology Fitkin B, New Haven, CT 06510 | Controlled Substance Laboratory | 2001-02-01 ~ 2002-01-31 |
| Yale University School of Medicine · Christopher K Breuer | 10 Amistad Street, New Haven, CT 06520-8062 | Controlled Substance Laboratory | 2012-02-01 ~ 2013-01-31 |
| Yale University School of Medicine · Irina A Buhimschi | 15 York Street, New Haven, CT 06511 | Controlled Substance Laboratory | 2012-02-03 ~ 2013-01-31 |
| Yale University School of Medicine · Eugene S Swenson | 1 Gilbert Street, New Haven, CT 06510 | Controlled Substance Laboratory | 2012-02-01 ~ 2013-01-31 |
| Yale University School of Medicine · Arnar Geirsson | 10 Amistad Street, New Haven, CT 06520 | Controlled Substance Laboratory | 2012-02-16 ~ 2013-01-31 |
| Yale University School of Medicine · Lab of Thomas Carpenter Prof | 330 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Laboratory | 2009-12-07 ~ 2010-01-31 |
| Yale University School of Medicine · Thomas Biederer | 333 Cedat Street, New Haven, CT 06510-2483 | Controlled Substance Laboratory | 2014-06-30 ~ 2015-01-31 |
| Yale University School of Medicine · Lab of Caren Gundberg Prof. | 330 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Laboratory | ~ |
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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).