GREGORY SLACHTA MD (Credential# 547705) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 13, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.
GREGORY SLACHTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029307. The credential type is physician/surgeon. The effective date is January 13, 1997. The expiration date is March 31, 1998. The business address is 222 Carew St, Springfield, MA 01104. The current status is inactive.
| Licensee Name | GREGORY SLACHTA MD |
| Credential ID | 547705 |
| Credential Number | 1.029307 |
| Credential Type | Physician/Surgeon |
| Business Address |
222 Carew St Springfield MA 01104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-07-29 |
| Effective Date | 1997-01-13 |
| Expiration Date | 1998-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156436 | CSP.0016486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 222 CAREW ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
| Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
| Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
| Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
| Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
| Find all Licenses in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory E Mccarthy | 109 E Cherry Pl, Deland, FL 32724-8849 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gregory Jay Pomper Md | 155 Treadwell St, Hamden, CT 06517 | Physician/surgeon | 2001-05-18 ~ 2002-05-31 |
| Gregory Chu | 45 Main Street, Wareham, MA 02571 | Physician/surgeon | 2008-08-29 ~ 2009-09-30 |
| Gregory Fiasconaro IIi | 54 Tridell Dr, Plantsville, CT 06479 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory M Gallousis Md | 999 Summer St Ste 105, Stamford, CT 06905-5546 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gregory Dworkin Md | 4 Fox Run Lane, Newtown, CT 06470 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory A Rutkowski Md | 44 Canterbury Rd, Berlin, CT 06037-3706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gregory K Buller | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).