GREGORY D GERSTEN MD (Credential# 554545) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GREGORY D GERSTEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036955. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is C/o Nvra Network, Southbury, CT 06488. The current status is active.
Licensee Name | GREGORY D GERSTEN MD |
Business Name | NVRA |
Credential ID | 554545 |
Credential Number | 1.036955 |
Credential Type | Physician/Surgeon |
Business Address |
C/o Nvra Network Southbury CT 06488 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-06-12 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
165962 | CSP.0027214 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | C/O NVRA NETWORK |
City | SOUTHBURY |
State | CT |
Zip Code | 06488 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Yeo Yang Shin | C/o Nvra, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Norman Bernard Levine Md | 88 Union St., Nvra S-702, Waterbury, CT 06706 | Physician/surgeon | 2002-05-20 ~ 2003-05-31 |
Michael K Malin | C/o Nvra Union Square #1, Southbury, CT 06488 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Scott Segal Md | Nvra, 385 Main St. South, Southbury, CT 06488 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Geoffrey L Manton Md | C/o Nvra, 385 Main St South, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Mark G Johnson | Nvra Imaging Network, Southbury, CT 06488 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Bradley G Leypold Md · Nura Imaging Network | C/o Nvra,385 Main Street South, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
Gregory W Walter | 22 Monticello Key, Papamoa Tauranga, 3118 | Physician/surgeon | ~ |
Gregory V Babigian | 18 Harness Rd, St. James, NY 11780 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).