LINDA D GILLAM MD (Credential# 157191) 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.
LINDA D GILLAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014001. 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 55 Old Farm Rd, Hamden, CT 06517. The current status is active.
| Licensee Name | LINDA D GILLAM MD |
| Credential ID | 157191 |
| Credential Number | CSP.0014001 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
55 Old Farm Rd Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546412 | 1.027172 | Physician/Surgeon | 1986-04-21 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 55 OLD FARM RD |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda C La | 157 Church St., New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda L Fan | 14 Horseshoe Rd, Guilford, CT 06437-2918 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda Thomson Aprn | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Linda R Latrenta | 475 Taconic Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda R Demello | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-08-19 ~ 2015-02-28 |
| Linda L Upp | 1 Elm Hill Drive, Rye Brook, NY 10573 | Controlled Substance Registration for Practitioner | 1994-08-26 ~ 1996-05-01 |
| Linda Lisk Lnm | 5 Rustic Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Linda L Meyer | 320 Lakeview Ave, Waterbury, CT 06705-2145 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Linda L Maxwell | 5 Sullivan Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda H Schroth Md | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).