JOAN E GIGSTAD MD (Credential# 550285) 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.
JOAN E GIGSTAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032683. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 234 Glenbrook Rd # U-4011, Storrs Mansfield, CT 06269-9099. The current status is active.
| Licensee Name | JOAN E GIGSTAD MD |
| Credential ID | 550285 |
| Credential Number | 1.032683 |
| Credential Type | Physician/Surgeon |
| Business Address |
234 Glenbrook Rd # U-4011 Storrs Mansfield CT 06269-9099 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-11-20 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 52529 | CSP.0024939 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 234 GLENBROOK RD # U-4011 |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06269-9099 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A Schweitzer | 234 Glenbrook Rd, Storrs, CT 06269-9099 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| University of Connecticut Student Health and Wellness | 234 Glenbrook Rd, Storrs, CT 06269-9099 | Infirmary Operated By An Educational Institution | 2018-07-01 ~ 2020-06-30 |
| Walter C. Taylor IIi | 234 Glenbrook Rd, Storrs Mansfield, CT 06269-9099 | Physician/surgeon | 1987-06-05 ~ 1990-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Milan | 406 Babbidge Rd., Storrs, CT 06269 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| University of Connecticut | 626 Gilbert Rd Ext, Storrs, CT 06269 | University Liquor | 2019-05-07 ~ 2020-09-06 |
| Catie L Dann | 2095 Hillside Road, Storrs, CT 06269 | Athletic Trainer | 2020-06-01 ~ 2021-05-31 |
| 3bc | 1391 Storrs Rd, Storrs, CT 06269 | Manufacturer of Hemp Consumables | 2020-02-10 ~ 2021-06-30 |
| Baikun Li | 261 Glenbrook Rd Unit #2037, Storrs Mansfield, CT 06269 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Xiuling Lu | 69 North Eagleville Rd, Storrs, CT 06269 | Controlled Substance Laboratory | 2020-01-30 ~ 2021-01-31 |
| Park Seung Ryul | 102-1206 30 Nambusunhwan-ro 363-gil, Seoul, 06269 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| University of Connecticut Police Department | 126 North Eagleville Road, Storrs Mansfield, CT 06269 | Prescription Drug Drop Box | 2020-02-01 ~ 2021-01-31 |
| Lauren Nicole Sheldon | 2095 Hillside Rd, Storrs, CT 06269 | Athletic Trainer | 2020-02-01 ~ 2021-01-31 |
| Eric S Beck | 337 Mansfield Road, Storrs, CT 06269 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06269 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06269 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STORRS MANSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan Ma | 80 Seymour St, Hartford, CT 06102-8000 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joan Bregstein | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Joan R Flynn | P.o. Box 940, Old Lyme, CT 06071 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Joan L Martinez | Imc Sap #181, Miami, FL 33152-3900 | Physician/surgeon | 2004-11-26 ~ 2006-01-31 |
| Joan H Blakeslee | 15 Lake St, Vernon, CT 06066 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Caitlin H Brandsdorfer | 7 Joan Dr, Newtown, CT 06470-2219 | Physician/surgeon | 2019-03-27 ~ 2019-09-30 |
| Joan V Judge | 4 Berkshire Dr, Brookfield, CT 06804-1436 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joan F Puglia | 67 Belmont St Ste 301, Worcester, MA 01605-2648 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Joan A Magner | 107 Newtown Rd, Danbury, CT 06810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stanley M Fromm | 551 Joan Drive, Fairfield, CT 06824 | Physician/surgeon | 2005-03-16 ~ 2006-05-31 |
Please comment or provide details below to improve the information on JOAN E GIGSTAD MD.
| 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).