BARRY GORDON DO (Credential# 538243) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BARRY GORDON DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000511-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 455 Lewis Ave, Meriden, CT 06451. The current status is active.
| Licensee Name | BARRY GORDON DO |
| Credential ID | 538243 |
| Credential Number | 1.000511-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
455 Lewis Ave Meriden CT 06451 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-10-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154507 | CSP.0027369 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 455 Lewis Ave |
| City | Meriden |
| State | CT |
| Zip Code | 06451 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard P Giosa | 455 Lewis Ave, Meriden, CT 06451 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Aziz Benbrahim Md | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard S Allen Md | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis Meyer | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kenneth R Kurz | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ralph L Corsetti M.d. | 455 Lewis Ave, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L. Torres | 309 Brownstone Ridge, Meriden, CT 06451 | Crane Operator | 2018-06-29 ~ 2020-06-28 |
| Lourdes Castro | 25 Lanoutte Steet, Meriden, CT 06451 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2022-02-28 |
| Brittney Hilliard | 44 Eddy Avenue, Meriden, CT 06451 | Master's Level Social Worker | ~ |
| Super Laundry Mat | 311 West Main St, Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sarah C Matteson | 18 Steuben St, Meriden, CT 06451 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Valerie Mari Dejesus | 36c Kiki Drive, Meriden, CT 06451 | Hairdresser/cosmetician | ~ |
| Tiffaney A Williams | 158 Byron Road, Meriden, CT 06451 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Meriden Oil Co | 30 Knob Hill Rd, South Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amal Abouchacra · Sam's Market | 167 Lewis Avenue, Meriden, CT 06451 | Grocery Beer | 2020-07-31 ~ 2021-07-30 |
| Carmen J Vazquez | 173 Fourth St, Meriden, CT 06451 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06451 | |||
| City | Meriden |
| Zip Code | 06451 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Meriden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Gordon · Gordon | 127 Barry Cir, Bloomfield, CT 06002-1977 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Gordon Kuster Md | P.o. Box 103, Stephentown, NY 12168 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Barry D Stimmel | Po Box 175, Ancramdale, NY 12503 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Barry J Tils | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1994-11-21 ~ 1996-01-31 |
| Barry S Hyman | 204 Rt 9w, New Windsor, NY 12553 | Physician/surgeon | 1996-04-26 ~ 1997-01-31 |
| Ram Y Gordon | 20 Commerce Park, Milford, CT 06460-3511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gordon F Buchanan | 345 Old Whitfield St, Guilford, CT 06437 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Gordon D Jensen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1954-01-31 |
| Gordon K Sze | 123 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon C Streeter Md | 51 Island Ave, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on BARRY GORDON DO.
| 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).