CAROLINE DUFFY GORDON (Credential# 2052198) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CAROLINE DUFFY GORDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065955-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 78 Olive St Apt 325, New Haven, CT 06511-6986. The current status is active.
| Licensee Name | CAROLINE DUFFY GORDON |
| Credential ID | 2052198 |
| Credential Number | 1.065955-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
78 Olive St Apt 325 New Haven CT 06511-6986 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050126 | CSP.0074196 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| Street Address | 78 OLIVE ST APT 325 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6986 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Holly L Gilligan | 78 Olive St Apt 416, New Haven, CT 06511-6986 | Dietitian/nutritionist | 2020-06-01 ~ 2021-05-31 |
| Amy Mt Duong | 78 Olive St Apt 410, New Haven, CT 06511-6986 | Naturopathic Physician | 2020-03-01 ~ 2021-02-28 |
| Tori Giannini | 78 Olive St Apt 406, New Haven, CT 06511-6986 | Medical Marijuana Dispensary Facility Employee | 2020-01-31 ~ 2021-01-30 |
| Tara P Cotton | 78 Olive St Apt 411, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ann Friddell | 78 Olive St Apt 322, New Haven, CT 06511-6986 | Emergency Medical Technician | 2017-09-22 ~ 2020-07-01 |
| Natalie S Uy | 78 Olive St Apt 323, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Martha Zegarra | 78 Olive St Apt 326, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caroline Pham | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Caroline Adelman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2012-06-07 ~ 2020-06-30 |
| Caroline A Walker | 360 State St Apt 2110, New Haven, CT 06510-3620 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Dalton Gordon LLC | 45 Duffy St Apt 2r, Stamford, CT 06902-5365 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Barbara Sharon Gordon | 6 Peddlers Dr, Branford, CT 06405-5829 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Caroline Larosa | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Ashley A Gordon | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| John P Duffy · Duffy Construction | 856 1/2 Hope St, Stamford, CT 06907 | Home Improvement Contractor | ~ 1995-06-01 |
| Caroline Gordon | 50 Rockwell Rd, Newington, CT 06111 | Medication Administration Certification | 2001-03-31 ~ 2003-03-30 |
| Caroline B Gordon | 44 Huckleberry Lane, Darien, CT 06820 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
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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).