GARY MILLER (Credential# 545610) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GARY MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025717. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 100 North Mountain Road, Canton, CT 06019. The current status is active.
| Licensee Name | GARY MILLER |
| Credential ID | 545610 |
| Credential Number | 1.025717 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 North Mountain Road Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-07-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1469523 | CSP.0067288 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 163504 | CSP.0023950 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 147112 | CSP.0012844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 975787 | CSP.0049387 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-30 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 971462 | CSP.0049173 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-22 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary Miller | 14 Heritage Drive, Prospect, CT 06712 | Notary Public Appointment | 2011-05-31 ~ 2016-05-31 |
| Gary Miller | 19 Neal Court, Plainville, CT 06062 | Emergency Medical Responder | 2007-01-23 ~ 2013-04-01 |
| Street Address | 100 NORTH MOUNTAIN ROAD |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda Daniels-miller Pa | 100 North Mountain Road, Canton, CT 06019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey F Miller Md | Physician/surgeon | 2010-06-01 ~ 2011-05-31 | |
| Gary A Dee | 294 Morehouse Rd, Easton, CT 06612-2145 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary T Yacono | 96 Ct-37, New Fairfield, CT 06812 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
| Leo R Miller | 268 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 1996-02-08 ~ 1997-03-31 |
| Gary L Last Md | 580 Cottage Grove Rd, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gary Mazer | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Gary Blume | 217 176th Pl Sw, Bothell, WA 98012-9107 | Physician/surgeon | 2019-06-28 ~ 2020-06-30 |
| Gary M Bertman | 270 Montauk Ave, New London, CT 06320-4712 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GARY MILLER.
| 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).