FRED GIBSON (Credential# 538649) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 31, 2003. The license expiration date date is March 31, 2004. The license status is INACTIVE.
FRED GIBSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006298. The credential type is physician/surgeon. The effective date is March 31, 2003. The expiration date is March 31, 2004. The business address is 260 Knollwood Dr, New Haven, CT 06515-2414. The current status is inactive.
| Licensee Name | FRED GIBSON |
| Credential ID | 538649 |
| Credential Number | 1.006298 |
| Credential Type | Physician/Surgeon |
| Business Address |
260 Knollwood Dr New Haven CT 06515-2414 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1949-12-12 |
| Effective Date | 2003-03-31 |
| Expiration Date | 2004-03-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152505 | CSP.0005052 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 260 KNOLLWOOD DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2414 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert B Schonberger Md | 290 Knollwood Dr, New Haven, CT 06515-2414 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph S Chioffi | 226 Knollwood Dr, New Haven, CT 06515-2414 | Dentist | 2013-06-01 ~ 2014-05-31 |
| Candice T Norcott | 250 Knollwood Dr, New Haven, CT 06515-2414 | Psychologist | 2010-12-03 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle M Gibson | 265 1st Ave Apt 1, New York, NY 10003-2996 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Robert M Johnston | 65 Gibson St., Leesburg, VA 22075 | Physician/surgeon | 1969-10-02 ~ 1981-11-30 |
| Courtney E. Gibson | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Russell W Gibson | 245 E. 21st Street, New York, NY 10010 | Physician/surgeon | 2007-11-30 ~ 2008-11-30 |
| Luther W Gibson Md | 12 Dilaj Drive, Columbia, CT 06237 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Joanna A. Gibson | 1087 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Fred M Cutrer | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2016-12-28 ~ 2017-07-31 |
| Fred L Fishman | 333 Birchwood Ave, Deerfield, IL 60015-4714 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Fred H Kohanna | 1 Buttonwood Way, Littleton, MA 01460-2244 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Fred S Gorelick | P.o.box 3066, Branford, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FRED GIBSON.
| 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).