DEBRA L GERSON (Credential# 562693) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
DEBRA L GERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045111. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 64 Black Rock Ave, Bridgeport, CT 06605-1200. The current status is inactive.
| Licensee Name | DEBRA L GERSON |
| Credential ID | 562693 |
| Credential Number | 1.045111 |
| Credential Type | Physician/Surgeon |
| Business Address |
64 Black Rock Ave Bridgeport CT 06605-1200 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-02-05 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1369662 | CSP.0063674 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-30 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 64 BLACK ROCK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1200 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emely E. Gonzalez | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Community Health Worker | 2020-03-19 ~ 2023-03-31 |
| Park City Primary Care Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Park City Primary Care Center, Inc. | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Theresa Integral Dy Djama | 64 Black Rock Ave, Bridgeport, CT 06605-1649 | Controlled Substance Registration for Practitioner | 2019-07-05 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerson S Paul | 1710 Woodland Rd, Abington, PA 19001 | Physician/surgeon | 1996-10-09 ~ 1997-12-31 |
| Gerson E. Alvarez | 601 E Front Ave Ste 400, Coeur D Alene, ID 83814-5150 | Physician/surgeon | 2010-12-07 ~ 2011-03-31 |
| Benjamin Gerson | 326 Conshohocken State Road, Gladwyne, PA 19035 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Gerson Industries · Louis Goldfond | 830 Bloomfield Ave, Clifton, NJ 07012-1116 | Manufacturer of Bedding & Upholstered Furniture | 2005-09-13 ~ 2006-04-30 |
| Gerson Institute | 4631 Viewridge Ave, San Diego, CA 92123-1689 | Public Charity | 2018-06-01 ~ 2019-05-31 |
| Gerson Branco Painting LLC | 9 Park Lane, Newtown, CT 06470-2227 | Home Improvement Contractor | 2006-06-23 ~ 2006-11-30 |
| Debra Hope Federer | Norwalk, CT 06056 | Physician/surgeon | 1984-01-03 ~ 1988-01-31 |
| Debra Hopkins Md | Po Box 1473, Medina, TX 78055 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Debra A Petrucci | 86 Buckfield Ln, Greenwich, CT 06831-2643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Debra Nelson | 1818 S Eastern Ave, Las Vegas, NV 89106 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
Please comment or provide details below to improve the information on DEBRA L GERSON.
| 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).