JOVITO C GAMBOA
Physician/surgeon


Address: 19 Judson Avenue, Woodbury, CT 06798

JOVITO C GAMBOA (Credential# 544996) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 21, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.

Business Overview

JOVITO C GAMBOA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024380. The credential type is physician/surgeon. The effective date is October 21, 2008. The expiration date is October 31, 2009. The business address is 19 Judson Avenue, Woodbury, CT 06798. The current status is inactive.

Basic Information

Licensee Name JOVITO C GAMBOA
Credential ID 544996
Credential Number 1.024380
Credential Type Physician/Surgeon
Business Address 19 Judson Avenue
Woodbury
CT 06798
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-04-08
Effective Date 2008-10-21
Expiration Date 2009-10-31
Refresh Date 2010-03-12

Other licenses

ID Credential Code Credential Type Issue Term Status
152231 CSP.0012067 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 19 Judson Avenue
City WOODBURY
State CT
Zip Code 06798

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Russell J Hardy 229 Bacon Pond Rd #114, Woodbury, CT 06798 Registered Nurse 2020-07-01 ~ 2021-06-30
Geoffrey S Middeleer 20 Roxbury Road, Woodbury, CT 06798 Landscape Architect 2020-08-01 ~ 2021-07-31
Elaine P Templeton 197 Carmel Hill Road, Woodbury, CT 06798 Real Estate Salesperson ~
Ayrica L Gelinas 65 Laurel Woods Road, Woodbury, CT 06798 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Christopher R Laux Grey Fox Trail, Woodbury, CT 06798 Architect 2020-08-01 ~ 2021-07-31
Diane L Robinson P O Box 208, Woodbury, CT 06798 Registered Nurse 2020-08-01 ~ 2021-07-31
Scott Freitag 47 Woodbury Hill, Woodbury, CT 06798 Medication Administration Certification ~
Brenda L Lupo 31 Blueberry Lane, Woodbury, CT 06798 Registered Nurse 2020-07-01 ~ 2021-06-30
Jennifer L Thompson 1280 Main St. North, Woodbury, CT 06798 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Eileen O Pflegl 3 Hazel Plain Road, Woodbury, CT 06798 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Find all Licenses in zip 06798

Competitor

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City WOODBURY
Zip Code 06798
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBURY

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Dataset Information

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).

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