JONATHAN E GAGE (Credential# 546141) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JONATHAN E GAGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026701. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2 Church St So, New Haven, CT 06519. The current status is active.
| Licensee Name | JONATHAN E GAGE |
| Credential ID | 546141 |
| Credential Number | 1.026701 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Church St So New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-08-12 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155364 | CSP.0013564 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2 CHURCH ST SO |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sidney Hurwitz | 2 Church St So, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1995-09-27 ~ 1997-02-28 |
| Carlton C Phillips | 2 Church St So, New Haven, CT 06519 | Physician/surgeon | 1995-12-08 ~ 1997-01-31 |
| New Haven Optical Co Inc | 2 Church St So, New Haven, CT 06510 | Optical Selling Permit | 1994-07-21 ~ 1995-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Gage | 200 E University Av, St Paul, MN 55101 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
| Jonathan Ryan | 316 Gage St, Bennington, VT 05201-2512 | Architect | ~ |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
| Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Jonathan H Holt | 70 Livingston St, New Haven, CT 06511-2466 | Physician/surgeon | 1983-04-14 ~ 1984-08-31 |
| Jonathan Bernstein | 558 Dickens Dr, Hummelstown, PA 17036 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan S Luchs | 151 Bristol Dr, Woodbury, NY 11797-3114 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan N. Glickman | 320 Needham St Ste 200, Newton, MA 02464-1593 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
Please comment or provide details below to improve the information on JONATHAN E GAGE.
| 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).