STEPHEN M GALLOUSIS MD (Credential# 558659) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
STEPHEN M GALLOUSIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041076. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 161 Cherry St, New Canaan, CT 06840-4827. The current status is active.
| Licensee Name | STEPHEN M GALLOUSIS MD |
| Credential ID | 558659 |
| Credential Number | 1.041076 |
| Credential Type | Physician/Surgeon |
| Business Address |
161 Cherry St New Canaan CT 06840-4827 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-01-13 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 333730 | CSP.0033181 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-02-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 161 CHERRY ST |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-4827 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara S. Coca Md | 161 Cherry St, New Canaan, CT 06840-4827 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan F Dunbar Md | 161 Cherry St, New Canaan, CT 06840-4827 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Americares Foundation | 161 Cherry St, New Canaan, CT 06840 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2004-07-01 ~ 2005-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory M Gallousis Md | 999 Summer St Ste 105, Stamford, CT 06905-5546 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Francine Gallousis Md | 109 Brendon Hill Rd, Scarsdale, NY 10583 | Physician/surgeon | 2003-05-28 ~ 2004-05-31 |
| Stephen Carragher | 410 Capitol Ave, Hartford, CT 06134 | Physician/surgeon | ~ |
| J. Stephen Roy | 7a Ludlow Rd, Westport, CT 06880-3043 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
| Stephen Fealy | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Stephen Andreoni | 162 Bay Ave, Halesite, NY 11743 | Physician/surgeon | 2016-11-30 ~ 2017-08-31 |
| Stephen R Barone | 320 E 46th St Apt 16e, New York, NY 10017-3025 | Physician/surgeon | ~ |
| Stephen M Dorros | Po Box, Santa Fe, CA 92067 | Physician/surgeon | 1975-04-02 ~ 1978-05-31 |
| Stephen A Moe | Po Box 2236, New Haven, CT 06520 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Please comment or provide details below to improve the information on STEPHEN M GALLOUSIS MD.
| 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).