ALFRED G GLADSTONE (Credential# 545428) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ALFRED G GLADSTONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025354. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 101 North Plains Industrial Road, Second Floor, CT 06492. The current status is active.
| Licensee Name | ALFRED G GLADSTONE |
| Credential ID | 545428 |
| Credential Number | 1.025354 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 North Plains Industrial Road Second Floor CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-06-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156677 | CSP.0016550 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 159198 | CSP.0018193 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-08-16 - 1997-02-28 | INACTIVE |
| Street Address | 101 NORTH PLAINS INDUSTRIAL ROAD |
| City | SECOND FLOOR |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | SECOND FLOOR |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SECOND FLOOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chickamagalur N Raveesh | 7770 North Lakebluff, Gladstone, MI 49837-2439 | Physician/surgeon | 2000-02-28 ~ 2001-01-31 |
| Todd M Gladstone | 45 Hickory Hill Lane, Newington, CT 06111 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| J Alfred Fabro | Po Box 1457, Litchfield, CT 06759 | Physician/surgeon | 1993-11-17 ~ 1995-01-31 |
| Alfred E Stillman | 100 South St, Southbridge, MA 01550 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Alfred Bircaj | 55 Kane Ave, Stamford, CT 06905-2022 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alfred J Riel | 393 Center St, Auburn, ME 04210 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Alfred C Castillo | 159-20 92nd St, Howard Beach, NY 11414 | Physician/surgeon | ~ |
| Alfred A Pirro | 602 Hanna Road, Bel Air, MD 21014 | Physician/surgeon | 2001-04-25 ~ 2002-05-31 |
| Alfred W Lee-young | 10 Florence Way, Farmington, CT 06032 | Physician/surgeon | 1992-08-26 ~ 1993-07-31 |
| Alfred Joyce Md | 121 Sand Rd, New Canaan, CT 06018 | Physician/surgeon | 1997-01-27 ~ 1998-03-31 |
Please comment or provide details below to improve the information on ALFRED G GLADSTONE.
| 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).