J DAVID GILLILAND (Credential# 1132937) 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.
J DAVID GILLILAND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051563. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 523 Bristolwood Ln, Castle Pines, CO 80108-7904. The current status is inactive.
Licensee Name | J DAVID GILLILAND |
Credential ID | 1132937 |
Credential Number | 1.051563 |
Credential Type | Physician/Surgeon |
Business Address |
523 Bristolwood Ln Castle Pines CO 80108-7904 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-12-26 |
Effective Date | 2013-08-01 |
Expiration Date | 2014-07-31 |
Refresh Date | 2014-11-03 |
Street Address | 523 BRISTOLWOOD LN |
City | CASTLE PINES |
State | CO |
Zip Code | 80108-7904 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sylvia Tiss De Souza | 12380 Serena Court, Castle Pines, CO 80108 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Christie Albers | 535 Lost Valley Pt., Castle Rock, CO 80108 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Ashley R Plummer | 1500 Wild Cat Mountain Road, Castle Rock, CO 80108 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
Owen Ballou | 1878 Tulip Tree Place, Castle Rock, CO 80108 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Alison C Hanshaft | 636 Ruby Trust Way, Castle Rock, CO 80108 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
Sarah T Guglielmo | 6267 Shavano Peak Place, Castle Rock, CO 80108 | Dental Hygienist | 2005-06-16 ~ 2006-05-31 |
Ted R Cook · Pci Energy Services | 435 Kendall Court Apt# 212, Castle Rock, CO 80108 | Heating, Piping & Cooling Limited Journeyperson | 2004-09-01 ~ 2005-08-31 |
Richard O Gritzmacher Md | 2906 Fairway View Court, Castle Rock, CO 80108 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Katie L Reeves | 6021 Castlegate Dr W, Castle Rock, CO 80108-3494 | Licensed Practical Nurse | 2010-11-01 ~ 2011-10-31 |
Carl A Recine | 625 Malvern Ct, Castle Pines, CO 80108-3607 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 80108 |
City | CASTLE PINES |
Zip Code | 80108 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CASTLE PINES |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly S Gilliland | Thyroid Cytopathology Partners, Austin, TX 78727 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
David S Wilcox | P.o. Box 384, Osterville, MA 02655 | Physician/surgeon | 1996-03-14 ~ 1997-05-31 |
David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
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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).