GERRIT I VAN SCHALKWYK (Credential# 1491033) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2020. The license status is ACTIVE.
GERRIT I VAN SCHALKWYK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059135-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2020. The business address is 95 S Ridge Ln Unit Agl2, Berlin, CT 06037-5019. The current status is active.
| Licensee Name | GERRIT I VAN SCHALKWYK |
| Credential ID | 1491033 |
| Credential Number | 1.059135-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
95 S Ridge Ln Unit Agl2 Berlin CT 06037-5019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-01 |
| Effective Date | 2015-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082410 | CSP.0053137 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-08 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1214992 | 1.053229 | Physician/Surgeon | 2014-06-30 | 2017-01-01 - 2017-12-31 | INACTIVE |
| Street Address | 95 S RIDGE LN UNIT AGL2 |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-5019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | BERLIN |
| Zip Code | 06037 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + BERLIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johan D Van Schalkwyk | 69c Salmon Brook Dr, Glastonbury, CT 06033 | Physical Therapist | 1998-04-06 ~ 1999-05-31 |
| Gerrit S Van Straten | 999 Shetland Ct, Worthington, OH 43085 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Gerrit P Kimball | 24 Berlin St, Southington, CT 06489 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Gerrit J Nicholas · The Cog and Co | 147 Water St, Stonington, CT 06378-1373 | Restaurant Wine & Beer | ~ |
| Gerrit H Zwart | New Light Dr, Danbury, CT 06810 | Notary Public Appointment | 1983-05-01 ~ 1988-03-31 |
| Gerrit C Roelof | 7 Laura Lane, Bethel, CT 06801 | Emergency Medical Technician | ~ 1998-01-01 |
| Gerrit Joppe | 815 E Gate Dr Ste 101, Mount Laurel, NJ 08054-1243 | Off Track Betting Facility Management | 2018-09-01 ~ 2019-08-31 |
| Gerrit M Zwart | 26 Heights Road, Noroton Heights, CT 06820 | Notary Public Appointment | 1968-07-01 ~ 1973-03-31 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).