GREGORY E BLACKMAN (Credential# 556545) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
GREGORY E BLACKMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038957. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 756 Longmeadow St, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | GREGORY E BLACKMAN |
| Credential ID | 556545 |
| Credential Number | 1.038957 |
| Credential Type | Physician/Surgeon |
| Business Address |
756 Longmeadow St Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-08-17 |
| Effective Date | 2013-08-01 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 235228 | CSP.0029545 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 756 LONGMEADOW ST |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurel E Blackman | 3312 Glenview Ave, Austin, TX 78703-1447 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carolyn Ruth Blackman | 40 Arbor Way, East Greenwich, RI 02818 | Physician/surgeon | ~ |
| Blackman Avenue | 3 Blackman Avenue, Bethel, CT 06801 | Community Living Arrangement | 2019-08-01 ~ 2021-07-31 |
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory R Criscuolo Md | 330 Washington St, Norwich, CT 06360 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alani Gregory | 275 Winchester Ave, New Haven, CT 06511 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Gregory R Saboeiro | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gregory M Gallousis Md | 999 Summer St Ste 105, Stamford, CT 06905-5546 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gregory M Colodner | 133 Scovill St, Waterbury, CT 06706-1127 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory Lombardo | 6 Lyndel Rd, Pound Ridge, NY 10576 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on GREGORY E BLACKMAN.
| 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).