PAMELA GIBSON (Credential# 1169212) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PAMELA GIBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054879. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 10 John St, Southport, CT 06890. The current status is active.
| Licensee Name | PAMELA GIBSON |
| Credential ID | 1169212 |
| Credential Number | CSP.0054879 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10 John St Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1227908 | 2.011244 | Dentist | 2014-07-28 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 501319 | PTN.0010611 | PHARMACY TECHNICIAN | 2008-05-02 | 2009-04-01 - 2010-03-31 | INACTIVE |
| Street Address | 10 John St |
| City | Southport |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Colleen C Randall | 10 John St, Southport, CT 06890 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Ingrid L Priede | 10 John St, Southport, CT 06890-1437 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | Southport |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew M Gibson | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dwala Gibson | Po Box 3260, Mashantucket, CT 06338-3260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Efthimia Koliais | 17 Gibson Ln, Middletown, CT 06457-8732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sai P Haranath Md | 6210 Gibson Ln Apt 3202, Texarkana, TX 75503-1249 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erica L Gibson | 20 Vera St Apt 4, West Hartford, CT 06119-1952 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David H Gibson Md | Yale School of Medicine, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Douglas W Gibson | 80 Jackson Cove Road, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela D Pinch | Box 937, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Pamela A Moore | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela Townshend | 675 S Main St Ste A, Cheshire, CT 06410-3153 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on PAMELA GIBSON.
| 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).