STEVEN W GORDON MD (Credential# 162997) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
STEVEN W GORDON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023796. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 172 South 1st Street, Fulton, NY 13069. The current status is inactive.
| Licensee Name | STEVEN W GORDON MD |
| Credential ID | 162997 |
| Credential Number | CSP.0023796 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
172 South 1st Street Fulton NY 13069 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-03-01 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552478 | 1.034883 | Physician/Surgeon | 1995-09-29 | 1997-04-25 - 1998-04-30 | INACTIVE |
| Street Address | 172 SOUTH 1ST STREET |
| City | FULTON |
| State | NY |
| Zip Code | 13069 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Messer Merchant Production LLC | 370 Owen Rd, Fulton, NY 13069 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2012-11-29 ~ |
| Joseph R. Fowler | 4496 St. Rt. 49, Fulton, NY 13069 | Crane Operator Apprentice | 2006-05-23 ~ 2008-05-22 |
| Kristin M. Nylen Dds | 858 Hannibal St, Fulton, NY 13069 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Larry D Ferrell | 155 West 2nd St S, Fulton, NY 13069 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Michael C Christensen | 796 Red School House Road, Fulton, NY 13069 | Limited Sheet Metal Journeyperson | ~ |
| Edvin A Perez | 508 W. Second Street, Fulton, NY 13069 | Asbestos Abatement Worker | 2011-06-01 ~ 2013-05-31 |
| Tracey M Ryan | 93 Dann Rd., Fulton, NY 13069 | Dental Hygienist | 2011-01-01 ~ 2011-12-31 |
| Rebecca J Scholes | 5125 Co Rt 49, Fulton, NY 13069 | Licensed Practical Nurse | 2001-07-05 ~ 2002-04-30 |
| Candida M Grosvent | 251 W. 1st Street, Fulton, NY 13069 | Licensed Practical Nurse | 2006-08-28 ~ 2007-08-31 |
| Kelly K Tyler | 2776 County Rte 57, Fulton, NY 13069 | Licensed Practical Nurse | 2001-10-18 ~ 2002-10-31 |
| Find all Licenses in zip 13069 | |||
| City | FULTON |
| Zip Code | 13069 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FULTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Gordon Lewis | 945 Long Ln, Milford, OH 45150-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gordon Goodman Md | 101 Academy St, Manlius, NY 13104 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Laurie A Gordon | 79 Lakewind Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Gordon | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| W Gordon Van Nes Md | 19 Parkers Point, Chester, CT 06412 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael E Gordon Jr | 35 Willard St Apt.6a, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Gordon E Fosdick | 470 Main St, Middlefield, CT 06455 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachel Gordon | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Malcolm Gordon Md | 38 Harborview Ave, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Donald G Gordon | 153 S Main St, Newtown, CT 06470-2791 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEVEN W GORDON MD.
| 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).