GERALD J MICALIZZI MD (Credential# 555118) 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.
GERALD J MICALIZZI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037528. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 558 Fairview Ave, Bridgeport, CT 06606. The current status is active.
| Licensee Name | GERALD J MICALIZZI MD |
| Credential ID | 555118 |
| Credential Number | 1.037528 |
| Credential Type | Physician/Surgeon |
| Business Address |
558 Fairview Ave Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1999-02-19 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 291926 | CSP.0031606 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-11-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 558 FAIRVIEW AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip A Micalizzi Jr | 3180 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Micalizzi's | 712 Madison Ave, Bridgeport, CT 06606 | Frozen Dessert Wholesaler | 2010-04-23 ~ 2010-12-31 |
| Mike Micalizzi · Mike Micalizzi Contracting | 55 Mill Plain Rd Unit 21-8, Danbury, CT 06811-5161 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Michael Micalizzi LLC | 353 Schraffts Dr Apt #107, Waterbury, CT 06705 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Gerald L Springer | Po Box 43, Kotzebue, AK 99752 | Physician/surgeon | 1992-12-22 ~ 1994-02-28 |
| Gerald Copeck Md | 39 Stonybrook Rd, Stratford, CT 06614 | Physician/surgeon | 1999-02-17 ~ 2000-04-30 |
| Gerald Greenfield | 161-11 92 St, Rockwood Park, NY 11414 | Physician/surgeon | 1996-05-24 ~ 1997-05-31 |
| Gerald Fung | 30 Shelbourne Rd, Stamford, CT 06902 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
| Gerald O Strauch | 633 St. Clair St, Chicago, IL 60611 | Physician/surgeon | 2001-05-22 ~ 2002-07-31 |
| Gerald E Cooney | 225 Old Battery Rd, Bridgeport, CT 06605 | Physician/surgeon | 2003-01-29 ~ 2004-01-31 |
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| 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).