DANIELLE GIBBS (Credential# 1640128) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
DANIELLE GIBBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063636. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 6 Massachusetts Ave, Longmeadow, MA 01106-3023. The current status is active.
| Licensee Name | DANIELLE GIBBS |
| Credential ID | 1640128 |
| Credential Number | 1.063636 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Massachusetts Ave Longmeadow MA 01106-3023 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-08 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1657815 | 1.063310-RES | Resident Physician | 2017-07-31 | 2017-07-31 - 2020-06-30 | ACTIVE |
| 1441107 | CSP.0066513 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-22 | 2017-08-22 - 2019-02-28 | LAPSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Gibbs | 761 Mix Avenue, Hamden, CT 06514 | Medication Administration Certification | 2018-08-13 ~ 2020-08-12 |
| Street Address | 6 MASSACHUSETTS AVE |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-3023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luke Mantle | 6 Massachusetts Ave, Longmeadow, MA 01106-3023 | Physician/surgeon | 2020-03-13 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Bonnie Gibbs | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-31 ~ 2019-06-30 |
| Liliane Harika Gibbs | 1 Hospital Plz, Stamford, CT 06902-3602 | Physician/surgeon | ~ |
| Danielle Dang | 55 Water St Unit 4c, Brooklyn, NY 11201-1052 | Physician/surgeon | ~ |
| Danielle M Corpuz | 49 Quarry Rd, Waterford, CT 06385-3726 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Danielle Dang | 76 Center Street, Waterbury, CT 06702 | Physician/surgeon | ~ |
| Danielle Vitiello | 3 Zambom Ter, Andover, MA 01810-6400 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Danielle Rose Saldin | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Danielle Luciano | 7 Langley Park, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Danielle E Engler | 2621 Palisade Ave, Riverdale, NY 10463 | Physician/surgeon | 1994-05-02 ~ 1995-06-30 |
| Danielle A Butler | 22 Adams Lane, Hainesport, NJ 08036 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on DANIELLE GIBBS.
| 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).