BENJAMIN T GILBERT (Credential# 1290068) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is PENDING.
BENJAMIN T GILBERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003341. The credential type is physician assistant. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 290 N Hudson Ave Apt 308e, Pasadena, CA 91101-4429. The current status is pending.
Licensee Name | BENJAMIN T GILBERT |
Credential ID | 1290068 |
Credential Number | 23.003341 |
Credential Type | Physician Assistant |
Business Address |
290 N Hudson Ave Apt 308e Pasadena CA 91101-4429 |
Business Type | INDIVIDUAL |
Status | PENDING - REINSTATEMENT APPLICATION PENDING |
Issue Date | 2015-06-17 |
Effective Date | 2017-11-01 |
Expiration Date | 2018-10-31 |
Refresh Date | 2020-05-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1295011 | CSP.0060705 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-19 | 2015-06-19 - 2017-02-28 | INACTIVE |
972209 | 70.012917 | Emergency Medical Technician | 2010-10-22 | 2010-10-22 - 2013-04-01 | INACTIVE |
Street Address | 290 N HUDSON AVE APT 308E |
City | PASADENA |
State | CA |
Zip Code | 91101-4429 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gayle Solk | 218 S. Oakland Ave, Pasadena, CA 91101 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Mohammad R Jafari | 234 E Colorado Blvd, Pasadena, CA 91101 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Thao Thanh Nguyen | 678 E. Walnut Street, Pasadena, CA 91101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joseph S Ward | 221 E. Walnut Suite 250, Pasadena, CA 91101 | Professional Engineer | 1989-03-01 ~ 1990-01-31 |
Patricia Johnson | 300 E Bellevue Dr, Pasadena, CA 91101 | Registered Nurse | 1992-01-23 ~ 1992-12-31 |
Ronald J Paler | 221 S. Oak Knoll Ave, Pasadena, CA 91101 | Physician/surgeon | 2000-12-08 ~ 2001-11-30 |
William E Jones · Charles R Wilson & Associates Inc | 231 S Hudson Ave #8, Pasadena, CA 91101 | Temporary Certified General Real Estate Appraiser | 2000-09-15 ~ 2001-03-14 |
Jasmine M Zain Md | 301 Pleasant St #8, Pasadena, CA 91101 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Tequila Holdings Inc · Tequila Holdings | 221 E Walnut St Ste 230, Pasadena, CA 91101-1527 | Out of State Shipper Liquor | 2013-12-20 ~ 2014-07-14 |
Fiedler Group Corporation | 299 N Euclid Ave Ste 550, Pasadena, CA 91101-1582 | Professional Engineering Corporation | 2014-11-28 ~ 2015-11-27 |
Find all Licenses in zip 91101 |
City | PASADENA |
Zip Code | 91101 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + PASADENA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin T Houston | 69 Oakleaf Dr, Waterbury, CT 06708-3632 | Physician Assistant | 2016-12-01 ~ 2017-11-30 |
Jerry A Benjamin | 54 Warwick St, West Hartford, CT 06119 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Benjamin A Wetstone | 26 Calvin Rd, West Hartford, CT 06110-2110 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Benjamin W Dodson | 552 Wallingford Road, Lancaster, PA 17601 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Benjamin Michael Marks | 250 Victory Hwy., North Smithfield, RI 02896 | Physician Assistant | 2018-02-14 ~ 2018-10-31 |
Marc Benjamin | 40 Glen Hollow, West Hartford, CT 06117-2224 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Benjamin P Budnik | 13 Gilbert Ln, Burlington, CT 06013-2114 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
Benjamin G Belisle | 10 Gilbert Hill Rd, Chester, CT 06412-1306 | Emergency Medical Responder | 2020-05-01 ~ 2022-03-31 |
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 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on BENJAMIN T GILBERT.
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).