VICKIE C GERDON (Credential# 742177) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
VICKIE C GERDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000428. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 67 Cobblestone Dr, Groton, CT 06340-3854. The current status is active.
| Licensee Name | VICKIE C GERDON |
| Credential ID | 742177 |
| Credential Number | 23.000428 |
| Credential Type | Physician Assistant |
| Business Address |
67 Cobblestone Dr Groton CT 06340-3854 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-02-18 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163110 | CSP.0021956 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 67 COBBLESTONE DR |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3854 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew J Gerdon | 67 Cobblestone Dr, Groton, CT 06340 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Kozlowski | 73 Cobblestone Dr, Groton, CT 06340-3854 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Tiffany D Mercado | 78 Cobblestone Dr, Groton, CT 06340-3854 | Emergency Medical Technician | 2015-04-17 ~ 2021-04-01 |
| Salvatore Pluchino | 57 Cobblestone Dr, Groton, CT 06340-3854 | Electrical Unlimited Journeyperson | 1997-10-01 ~ 1998-09-30 |
| Aimee C Pseekos | 55 Cobblestone Dr, Groton, CT 06340-3854 | Psychologist | 2011-08-01 ~ 2012-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vickie B Unfricht | 421 Mill Rd., North Haven, CT 06473 | Physical Therapist Assistant | 2012-02-01 ~ 2013-01-31 |
| Vickie M Chase | 1304 Quentin Avenue, Mt. Vernon, WA 98274 | Physical Therapist Assistant | 2009-04-30 ~ 2010-04-30 |
| Vickie Mcstoots | 3825 Rose Loop Road, Nashville, NC 27856 | Physical Therapist Assistant | ~ 2006-11-01 |
| Matthew J Gerdon | 67 Cobblestone Dr, Groton, CT 06340 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Vickie Zupa | 30 Mortimer St, New Canaan, CT 06840 | Naturopathic Physician | 2020-03-01 ~ 2021-02-28 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on VICKIE C GERDON.
| 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).