GREGORY M GALLOUSIS MD (Credential# 561862) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
GREGORY M GALLOUSIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044280. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 999 Summer St Ste 105, Stamford, CT 06905-5546. The current status is active.
| Licensee Name | GREGORY M GALLOUSIS MD |
| Credential ID | 561862 |
| Credential Number | 1.044280 |
| Credential Type | Physician/Surgeon |
| Business Address |
999 Summer St Ste 105 Stamford CT 06905-5546 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2006-04-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 445327 | CSP.0039587 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-07-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 999 SUMMER ST STE 105 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5546 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick J Cahill Do | 999 Summer St Ste 401, Stamford, CT 06905-5546 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Robert J Gennaro | 999 Summer St Ste 401, Stamford, CT 06905-5546 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Sepiashvili Dds | 999 Summer St, Stamford, CT 06905-5546 | Dentist | 2004-04-19 ~ 2005-05-31 |
| 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 |
|---|---|---|---|
| Stephen M Gallousis Md | 161 Cherry St, New Canaan, CT 06840-4827 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Francine Gallousis Md | 109 Brendon Hill Rd, Scarsdale, NY 10583 | Physician/surgeon | 2003-05-28 ~ 2004-05-31 |
| 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 |
| Gregory Isenberg Md | 580 Farmington Ave, Hartford, CT 06105-3050 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory S Azia Md | 399 Ocean Ave, New London, CT 06320 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Gregory Lombardo | 6 Lyndel Rd, Pound Ridge, NY 10576 | Physician/surgeon | ~ |
| Gregory E Mccarthy | 109 E Cherry Pl, Deland, FL 32724-8849 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Gregory M Colodner | 133 Scovill St, Waterbury, CT 06706-1127 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GREGORY M GALLOUSIS 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).