DANIEL J. GILL (Credential# 1174610) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
DANIEL J. GILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.008469. The credential type is dental anesthesia/conscious sedation permit. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 34 Dale Rd Ste 105, Avon, CT 06001-3659. The current status is active.
Licensee Name | DANIEL J. GILL |
Credential ID | 1174610 |
Credential Number | 22.008469 |
Credential Type | Dental Anesthesia/Conscious Sedation Permit |
Business Address |
34 Dale Rd Ste 105 Avon CT 06001-3659 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-08-29 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
893275 | 2.010169 | Dentist | 2009-12-15 | 2020-06-01 - 2021-05-31 | ACTIVE |
1167227 | 1.052166 | Physician/Surgeon | 2013-06-21 | 2020-06-01 - 2021-05-31 | ACTIVE |
476177 | CSP.0041722 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 34 DALE RD STE 105 |
City | AVON |
State | CT |
Zip Code | 06001-3659 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark C Fletcher Dmd | 34 Dale Rd Ste 105, Avon, CT 06001-3659 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kenneth Perks Md | 34 Dale Rd Ste 205, Avon, CT 06001-3659 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Andrew G Gabow | 34 Dale Rd Ste 208, Avon, CT 06001-3659 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Steven D Bond | 34 Dale Rd Ste 208, Avon, CT 06001-3659 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06001 |
City | AVON |
Zip Code | 06001 |
License Type | Dental Anesthesia/Conscious Sedation Permit |
License Type + County | Dental Anesthesia/Conscious Sedation Permit + AVON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
Erik M Sayles | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2020-04-01 ~ 2021-03-31 |
Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Anthony P Tufaro | 501 Ocean Ave, New London, CT 06320 | Dental Anesthesia/conscious Sedation Permit | 1992-04-24 ~ 1993-04-30 |
Marshall D Kurtz | 129 Park Ave, Danbury, CT 06810-7504 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
Joseph N Sciarrino | 90 Morgan St Ste 307, Stamford, CT 06905-5436 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Ira N Slow Dmd | 1825 Barnum Ave, Stratford, CT 06614-5333 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
Eric S Han | 697 Poquonock Avenue, Windsor, CT 06095 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
William J Lucey Jr | 391 Main St, Bristol, CT 06010 | Dental Anesthesia/conscious Sedation Permit | 1999-03-01 ~ 1999-09-14 |
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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).