GUSTAVO REYNOSO (Credential# 544642) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 18, 2003. The license expiration date date is September 30, 2004. The license status is INACTIVE.
GUSTAVO REYNOSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023612. The credential type is physician/surgeon. The effective date is August 18, 2003. The expiration date is September 30, 2004. The business address is 18 Charter Oak Drive, Oxford, CT 06478. The current status is inactive.
Licensee Name | GUSTAVO REYNOSO |
Credential ID | 544642 |
Credential Number | 1.023612 |
Credential Type | Physician/Surgeon |
Business Address |
18 Charter Oak Drive Oxford CT 06478 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1982-06-10 |
Effective Date | 2003-08-18 |
Expiration Date | 2004-09-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
158721 | CSP.0018053 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-03-16 - 1996-04-01 | INACTIVE | |
153278 | CSP.0011847 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-03-20 - 1996-02-28 | INACTIVE |
Street Address | 18 CHARTER OAK DRIVE |
City | Oxford |
State | CT |
Zip Code | 06478 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Find all Licenses in zip 06478 |
City | Oxford |
Zip Code | 06478 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Oxford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gustavo D Alday Md | 24 Old Town Lane, Bethel, CT 06801-1339 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Carlos Gustavo De Moraes | 70 Pine Street, New York, NY 10005 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Christine M Reynoso | 1901 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104-1304 | Physician/surgeon | ~ |
Carlos Gustavo Wambier | Yale Center for Clinical Investigation (ycci), New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Gustavo Thrace LLC | 33 Emperor Way, Napa, CA 94558 | Out of State Winery | 2008-10-03 ~ 2009-09-30 |
Reynoso Construction LLC | 188 Grand Ave Apt 243, New Haven, CT 06513-3858 | Home Improvement Contractor | 2017-05-31 ~ 2017-11-30 |
Jorge L Reynoso | 4 Chester St, Rock Hill, NY 12775-6104 | Physician Assistant | 2015-06-24 ~ 2015-12-31 |
Gustavo & Ivan LLC | 119 Frank St Fl 2, New Haven, CT 06519-1936 | Home Improvement Contractor | 2014-04-16 ~ 2014-11-30 |
Gustavo A. Villalona | 123 York St Apt 17d, New Haven, CT 06511-5628 | Resident Physician | 2013-06-28 ~ 2020-06-30 |
Gustavo A Elias | 39 Malvern Ave Apt 1, Richmond, VA 23221-2634 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
Please comment or provide details below to improve the information on GUSTAVO REYNOSO.
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).