GEOFFREY H GORDON MD (Credential# 553879) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
GEOFFREY H GORDON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036287. The credential type is physician/surgeon. The effective date is March 19, 2002. The expiration date is May 31, 2003. The business address is 15700 Nw Norwich Street, Beaverton, OR 97006. The current status is inactive.
| Licensee Name | GEOFFREY H GORDON MD |
| Credential ID | 553879 |
| Credential Number | 1.036287 |
| Credential Type | Physician/Surgeon |
| Business Address |
15700 Nw Norwich Street Beaverton OR 97006 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-08-08 |
| Effective Date | 2002-03-19 |
| Expiration Date | 2003-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 187635 | CSP.0026010 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 15700 NW NORWICH STREET |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roji M Malakar | 19145 Sw Lisa Dr, Beaverton, OR 97006 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ronald Kralicek | 2070 Sw Street, Aloha, OR 97006 | Elevator Limited Conveyor Journeyperson | 2014-04-02 ~ 2014-08-31 |
| Teressa M Davis | 837 Ne Wheelock Pl, Beaverton, OR 97006 | Registered Nurse - Temporary | 2014-03-13 ~ 2014-07-10 |
| Barbara C Hula | 15568 Nw Overton Dr, Beaverton, OR 97006 | Registered Nurse | 2007-08-06 ~ 2009-08-31 |
| John A Fallgren | 19594 S.w.trelane St, Aloha, OR 97006 | Registered Nurse | ~ 1999-03-31 |
| Patricia A Gordon · Morrison | 15700 N.w Norwich Street, Beaverton, OR 97006 | Registered Nurse | 2002-01-22 ~ 2003-03-31 |
| Thuy Duong Le | 81 Sw 147th Place, Beaverton, OR 97006 | Pharmacy Intern | 2005-05-19 ~ 2007-09-30 |
| Elizabeth Daing | 18365 Sw Longacre St, Beaverton, OR 97006 | Pharmacy Technician | ~ |
| Kyley Umetsu | 21524 Nw Miriam Way, Beaverton, OR 97006-1009 | Registered Nurse | 2019-08-29 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim M Landi | 3165 Sw 185th Ave, Beaverton, OR 97003-3134 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Jayme A Frangione | 1663 Sw 172nd Ter, Beaverton, OR 97003-4258 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Jessica E Adsit | 17990 Sw Jeremy St, Beaverton, OR 97007-6067 | Genetic Counselor | 2020-07-01 ~ 2021-06-30 |
| Prolifiq Software Inc | 9725 Sw Beaverton-hillsdale Hwy, Ste 115, Beaverton, OR 97005 | Securities - Exemptions | 2020-04-07 ~ |
| Childrens Cancer Therapy Development Institute · Cc-tdi | 12655 Sw Beaverdam Rd, Beaverton, OR 97005-2129 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Sue Jung Shim | 1285 Sw 172nd Terrace Apt 303, Beaverton, OR 97003 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Smith Monroe Gray Engineers Inc | 8625 Sw Cascade Ave Ste 600, Beaverton, OR 97008-7199 | Professional Engineering Corporation | 2018-04-13 ~ 2019-04-12 |
| David C Walters | 10445 Sw Dunlin Pl, Beaverton, OR 97007-8444 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jennifer J Veldorale-brogan | 9925 Sw Nimbus Ave Ste 110, Beaverton, OR 97008-7592 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ronald G Vandehey | 5985 Sw 179th Ave, Beaverton, OR 97007-3900 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in BEAVERTON | |||
| City | BEAVERTON |
| Zip Code | 97006 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BEAVERTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Geoffrey Etherington II | 302 Route 81, Killingworth, CT 06419 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Geoffrey A Agrons | 23 Norwood Ave, Kensington, CA 94707 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Ian Geoffrey Wittman | 301 E 17th St, New York, NY 10003 | Physician/surgeon | 2018-02-16 ~ 2019-02-28 |
| Geoffrey H Hammond | Post Office Box 695, Danville, CA 94526 | Physician/surgeon | 1997-06-06 ~ 1998-05-31 |
| Geoffrey C Achonu | 30 Davenport Avenue, New Rochelle, NY 10805 | Physician/surgeon | 2004-02-02 ~ 2005-01-31 |
| Geoffrey R Kaump | 7 Warner Rd, North Haven, CT 06473-3532 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geoffrey M Mukwaya | 15 Fawnwood Rd, Sandy Hook, CT 06482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geoffrey W Ndeto | 36 Franklin Avenue, Rosemont, PA 19010 | Physician/surgeon | ~ 1995-09-30 |
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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).