THOMAS A GUCKIAN
Physician/surgeon


Address: 63 Rockwell Ave, Naugatuck, CT 06770

THOMAS A GUCKIAN (Credential# 539066) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 15, 2006. The license expiration date date is August 31, 2007. The license status is INACTIVE.

Business Overview

THOMAS A GUCKIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008103. The credential type is physician/surgeon. The effective date is August 15, 2006. The expiration date is August 31, 2007. The business address is 63 Rockwell Ave, Naugatuck, CT 06770. The current status is inactive.

Basic Information

Licensee Name THOMAS A GUCKIAN
Credential ID 539066
Credential Number 1.008103
Credential Type Physician/Surgeon
Business Address 63 Rockwell Ave
Naugatuck
CT 06770
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1956-02-01
Effective Date 2006-08-15
Expiration Date 2007-08-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
150429 CSP.0013005 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 63 ROCKWELL AVE
City NAUGATUCK
State CT
Zip Code 06770

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Karoline K Mccabe · Kaleta 63 Rockwell Ave, Naugatuck, CT 06770-2707 Licensed Practical Nurse 2019-10-01 ~ 2020-09-30

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Jennifer D Arsan-siemasko 26 Seth Dr, Naugatuck, CT 06770 Registered Nurse 2020-05-01 ~ 2021-04-30
Margaret R Berge 375 May St, Naugatuck, CT 06770 Master's Level Social Worker - Temporary Permit 2020-06-26 ~ 2020-09-14
Ilene Zayas 38 Arch St., Naugatuck, CT 06770 Medication Administration Certification ~
Paula M Coelho 56 Jolie Road, Naugatuck, CT 06770 Dental Hygienist 2020-07-01 ~ 2021-06-30
Shannen Grace Welz 292 Spencer St, Naugatuck, CT 06770 Esthetician ~
Tanjala M Samuels 15 Lorann Circle, Naugatuck, CT 06770 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Andrea Lee Evans 216 Spring Street Unit 17, Naugatuck, CT 06770 Registered Nurse 2020-07-01 ~ 2021-06-30
Jay Haack 589 High Street, Naugatuck, CT 06770 Medication Administration Certification 2018-07-12 ~ 2020-07-11
Kathleen B Chiarella 67 Melbourne St, Naugatuck, CT 06770 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City NAUGATUCK
Zip Code 06770
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NAUGATUCK

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Dataset Information

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).

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