ISABEL D GONCALVES
Physician/surgeon


Address: 3180 Main St Suite 202, Bridgeport, CT 06606

ISABEL D GONCALVES (Credential# 555485) 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.

Business Overview

ISABEL D GONCALVES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037895. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3180 Main St Suite 202, Bridgeport, CT 06606. The current status is active.

Basic Information

Licensee Name ISABEL D GONCALVES
Credential ID 555485
Credential Number 1.037895
Credential Type Physician/Surgeon
Business Address 3180 Main St Suite 202
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-07-02
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-03

Other licenses

ID Credential Code Credential Type Issue Term Status
234963 CSP.0029498 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-05-16 2019-03-01 - 2021-02-28 ACTIVE
862794 70.920640 Emergency Medical Technician 1992-02-01 - 1994-03-31 INACTIVE

Office Location

Street Address 3180 MAIN ST SUITE 202
City BRIDGEPORT
State CT
Zip Code 06606

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Competitor

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City BRIDGEPORT
Zip Code 06606
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRIDGEPORT

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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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