EMILIE KOEPKE GIBBS (Credential# 743150) is licensed (Physician Assistant) 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.
EMILIE KOEPKE GIBBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001401. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 10 Sunnyside Lane, New Fairfield, CT 06812. The current status is active.
Licensee Name | EMILIE KOEPKE GIBBS |
Credential ID | 743150 |
Credential Number | 23.001401 |
Credential Type | Physician Assistant |
Business Address |
10 Sunnyside Lane New Fairfield CT 06812 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2003-10-10 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
355804 | CSP.0034345 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-11-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 10 Sunnyside Lane |
City | New Fairfield |
State | CT |
Zip Code | 06812 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Uwe C Koepke | 10 Sunnyside Lane, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Find all Licenses in zip 06812 |
City | New Fairfield |
Zip Code | 06812 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + New Fairfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kenneth Gibbs · Kenneth Gibbs Sr | 795 Barbey St Ph, Brooklyn, NY 11207 | Home Improvement Contractor | ~ 1995-09-01 |
Emilie T Zipagan-azocar | 15 Kingston Ter, Waltham, MA 02451-2343 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Julia A Gibbs | 238 Dunham Street, Norwich, CT 06360 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Emilie Leroy | 1351 Washington Blvd, Stamford, CT 06902-2419 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Gretchen L Gibbs · Gibbs | 729 W Wakefield Blvd, Winsted, CT 06098-2957 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Sim Gibbs IIi · Sim Gibbs Inc | 46 Hallock St, New Haven, CT 06519-1515 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
Emilie Parker Art Connection Inc | 13 Country Squire Ln, Sandy Hook, CT 06482-1617 | Public Charity-exempt From Financial Requirements | 2013-08-13 ~ |
Uwe C Koepke | 10 Sunnyside Lane, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Emilie's Pure & Simple Kitchen | 136 Hamilton Ave, Greenwich, CT 06830-6112 | Food Manufacturing Establishment | 2015-07-01 ~ 2016-06-30 |
Alan J Koepke · Communications & Electronics | 1976 Boston Tpke, Coventry, CT 06238-1156 | Tv & Radio Service Dealer | 2018-09-04 ~ 2019-08-31 |
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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).