ALEXIS GOPAL MD (Credential# 161807) 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.
ALEXIS GOPAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023501. 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 16 Deer Pond Woods Rd, Bridgewater, CT 06752. The current status is active.
| Licensee Name | ALEXIS GOPAL MD |
| Credential ID | 161807 |
| Credential Number | CSP.0023501 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Deer Pond Woods Rd Bridgewater CT 06752 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552209 | 1.034613 | Physician/Surgeon | 1995-06-30 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 16 DEER POND WOODS RD |
| City | BRIDGEWATER |
| State | CT |
| Zip Code | 06752 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmine P Bonomo | 102 Wewaka Brook Road, Bridgewater, CT 06752 | Real Estate Salesperson | ~ |
| Dawn Burdick | 146 Main Street South, Bridgewater, CT 06752 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Richard F Herrington | 110 Cedar Hill Road, Bridgewater, CT 06752 | Notary Public Appointment | 2020-06-10 ~ 2025-06-30 |
| Cheryl L Pinkos | 18 Blueberry Hill Road, Bridgewater, CT 06752 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Elizabeth Mcqueen | 24 Christian Street, Bridgewater, CT 06752 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brandy A Granata | 9 Round Hill Rd, Bridgewater, CT 06752 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Teressa R Erbs-mccabe | 11 Cedar Hill Rd, Bridgewater, CT 06752 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Beth F Nelson | 293 Wewaka Brook Rd, Bridgewater, CT 06752 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| David R Hendy | 60 Old Turnpike Road East, Bridgewater, CT 06752 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Terrie L Cooke | 28 Allen Road, Bridgewater, CT 06752 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06752 | |||
| City | BRIDGEWATER |
| Zip Code | 06752 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEWATER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gopal Sai Grandhige Md | 284 Orange St Apt#202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Vanitha Gopal | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gopal C Sarker | 34 Pembroke Ter, East Longmeadow, MA 01028-3187 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arvind Gopal Kamthan | 8 Wynthrop Manor Dr, Goshen, NY 10924-6620 | Controlled Substance Registration for Practitioner | 2019-07-10 ~ 2021-02-28 |
| Krishnan Gopal Md | 3703 S Atlantic Ave #802, Daytona Beach Shores, FL 32118 | Controlled Substance Registration for Practitioner | 2011-09-20 ~ 2013-02-28 |
| Srila Gopal | 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Alexis K Warren | 17 Elm Ct, Windsor, CT 06095-2912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexis M Fraser | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-01-31 ~ 2013-02-28 |
| Alexis C Bouteneff | 105 Buell Rd, Litchfield, CT 06759-3006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexis C Chardavoyne | 74 Erdoni Rd, Columbia, CT 06237-1307 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).