MONIQUE GAGNON MD (Credential# 550622) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MONIQUE GAGNON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033023. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 126 Morgan St, Stamford, CT 06905. The current status is active.
| Licensee Name | MONIQUE GAGNON MD |
| Credential ID | 550622 |
| Credential Number | 1.033023 |
| Credential Type | Physician/Surgeon |
| Business Address |
126 Morgan St Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-11 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163514 | CSP.0021163 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 126 MORGAN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Lasky | 126 Morgan St, Stamford, CT 06905 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Timothy H Kenefick | 126 Morgan St, Stamford, CT 06905-5431 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Paule Couture Md | 126 Morgan St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Monique Misra | 662 Reef Rd, Fairfield, CT 06824-6576 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Angela Monique Porter | 123 W 18th St Fl 8, New York, NY 10011-4127 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shontreal Monique Cooper | 30 Liberty Sq Apt 396, Bloomfield, CT 06002-3497 | Physician/surgeon | 2019-06-03 ~ 2020-06-30 |
| Shayla Monique Toombs-withers | 752 E. Mlk Blvd, Suite 102, Chatanooga, TN 37403 | Physician/surgeon | ~ |
| Monique L Giroux | Cleveland Clinic Foundation, Cleveland, OH 044195 | Physician/surgeon | 1995-07-17 ~ 1996-07-31 |
| Maurice Gagnon · Gagnon Remodeling | 71 Governor St, New Britain, CT 06053 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| David S Gagnon · Gagnon Floors | 45 Main St, Tariffville, CT 06081 | Home Improvement Contractor | 1999-09-21 ~ 1999-11-30 |
| Perley L Gagnon Inc | 3287 Berlin Tnpk, Newington, CT 06111 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Guy R Gagnon · Gagnon Painting & Decorating | 56 Brook St, New Britain, CT 06051 | Home Improvement Contractor | 1995-06-26 ~ 1995-09-01 |
| Raymond J Gagnon · Gagnon Home Improvements | 439 Church St, Newington, CT 06111 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
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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).