DENNIS S GORDAN MD (Credential# 193019) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
DENNIS S GORDAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026858. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 10 Williamsburg Dr, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | DENNIS S GORDAN MD |
| Credential ID | 193019 |
| Credential Number | CSP.0026858 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10 Williamsburg Dr Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554404 | 1.036813 | Physician/Surgeon | 1998-04-24 | 2010-10-01 - 2011-09-30 | INACTIVE |
| Street Address | 10 WILLIAMSBURG DR |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis Ng | 18 Chelsea Dr, Danbury, CT 06811-4464 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis Morgan | Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dennis E Slater Md | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis L Caffrey | 101 Sycamore Dr, Prospect, CT 06712-1490 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis M Byrne Dmd | 15 Blanchard Rd, Harvard, MA 01451-1120 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lori E Dennis | 125 W Main St, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dennis S O'brien Pa | 544 Whitney Ave Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Amy Dennis Pa | 67 Dove Lane, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Jill K Dennis | 828 River Ave, Providence, RI 02908-1413 | Controlled Substance Registration for Practitioner | 2015-04-22 ~ 2017-02-28 |
| Dennis N Vinias | 46 Teal Ln, Groton, CT 06340-2620 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on DENNIS S GORDAN 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).