GERALD PORTMAN (Credential# 1401852) is licensed (Physician/surgeon) 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.
GERALD PORTMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056398. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 350 Engle St, Englewood, NJ 07631. The current status is active.
| Licensee Name | GERALD PORTMAN |
| Credential ID | 1401852 |
| Credential Number | 1.056398 |
| Credential Type | Physician/Surgeon |
| Business Address |
350 Engle St Englewood NJ 07631 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1000974 | CSP.0050369 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 350 Engle St |
| City | Englewood |
| State | NJ |
| Zip Code | 07631 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grand Avenue Investments Lp - Series 8 | 285 Grand Avenue, Englewood, NJ 07631 | Securities - Exemptions | 2020-06-17 ~ |
| Cynthia D Rabb | 475 Grand Avenue, Englewood, NJ 07631 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Peter Joseph Powers | 402 West Ivy Lane, Englewood, NJ 07631 | Master's Level Social Worker | ~ |
| Cynthia Gayle Rowberg | 9 Brownstone Way, Englewood, NJ 07631 | Professional Counselor | ~ |
| Serhiy Fedorchenko | 191 Knickerbocker Rd, Englewood, NJ 07631 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Lauralee Yalden | 491 Cape May St, Englewood, NJ 07631 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Westbury Sg LLC | 10 West Forest Ave, Englewood, NJ 07631 | Securities - Exemptions | 2020-04-01 ~ |
| Leslie J Rebarber · Binder | 190 Walnut St, Englewood, NJ 07631 | Licensed Nurse Midwife | 2020-04-01 ~ 2021-03-31 |
| Ysbriel Ledesma | 3112 Windsor Park Ct, Englewood, NJ 07631 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Nathaniel D Jinks | 290 Windsor Rd, Englewood, NJ 07631 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 07631 | |||
| City | Englewood |
| Zip Code | 07631 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Englewood |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Portman Street | 126 Portman Street, Windsor, CT 06095 | Community Living Arrangement | 2018-09-01 ~ 2020-08-31 |
| Gerald L Springer | Po Box 43, Kotzebue, AK 99752 | Physician/surgeon | 1992-12-22 ~ 1994-02-28 |
| Gerald A Cohen | 200 S Broadway, Tarrytown, NY 10591 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Gerald O Strauch | 633 St. Clair St, Chicago, IL 60611 | Physician/surgeon | 2001-05-22 ~ 2002-07-31 |
| Gerald J Micalizzi Md | 558 Fairview Ave, Bridgeport, CT 06606 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gerald Fung | 30 Shelbourne Rd, Stamford, CT 06902 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
| Gerald E Cooney | 225 Old Battery Rd, Bridgeport, CT 06605 | Physician/surgeon | 2003-01-29 ~ 2004-01-31 |
| Gerald Lieberman | 975 Lincoln St, Denver, CO 80203-2725 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Gerald N Cimmino | 60 Dillon Rd, Woodbridge, CT 06525 | Physician/surgeon | 1996-07-01 ~ 1997-06-30 |
| Gerald A Colvin | 138 Grotto Ave, Providence, RI 02906-5721 | Physician/surgeon | 2020-03-11 ~ 2020-12-31 |
Please comment or provide details below to improve the information on GERALD PORTMAN.
| 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).