GARY R COLLIN MD (Credential# 547133) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 3, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
GARY R COLLIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028378. The credential type is physician/surgeon. The effective date is January 3, 2005. The expiration date is February 28, 2006. The business address is 114 Woodland St, Hartford, CT 06105. The current status is inactive.
| Licensee Name | GARY R COLLIN MD |
| Credential ID | 547133 |
| Credential Number | 1.028378 |
| Credential Type | Physician/Surgeon |
| Business Address |
114 Woodland St Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-08-05 |
| Effective Date | 2005-01-03 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 244127 | CSP.0030184 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 114 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Collin C Watson Md | 12 Beckett Ave, Branford, CT 06405 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary S Collin | 63 Grove Ave, Bristol, CT 06010 | Tv & Radio Certified Restricted Technician | 2005-09-01 ~ 2006-08-31 |
| Gary M Pelletier | 4 Collin Court, Wallingford, CT 06492 | Provisional Real Estate Appraiser | 2007-05-01 ~ 2008-04-30 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Gary A Dee | 294 Morehouse Rd, Easton, CT 06612-2145 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary T Yacono | 96 Ct-37, New Fairfield, CT 06812 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary Mazer | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Clifford J Schwartz | 126 Gary Rd, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gary L Last Md | 580 Cottage Grove Rd, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gary B Witman | 64 Hazard Ave, Providence, RI 02906-3308 | Physician/surgeon | 1978-11-03 ~ 1981-08-31 |
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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).