MATTHEW R GILLHAM (Credential# 704003) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
MATTHEW R GILLHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009551. The credential type is dentist. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 2938 Crockett St Apt 510, Fort Worth, TX 76107-2978. The current status is inactive.
| Licensee Name | MATTHEW R GILLHAM |
| Credential ID | 704003 |
| Credential Number | 2.009551 |
| Credential Type | Dentist |
| Business Address |
2938 Crockett St Apt 510 Fort Worth TX 76107-2978 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-01-09 |
| Effective Date | 2010-07-01 |
| Expiration Date | 2011-06-30 |
| Refresh Date | 2011-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 441077 | CSP.0039288 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-13 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 2938 CROCKETT ST APT 510 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2978 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittney Janelle Platon | 3016 Crockett St, Fort Worth, TX 76107 | Registered Nurse | ~ |
| Bios Fund IIi Qp, Lp | 1751 River Run, Suite 400, Fort Worth, TX 76107 | Securities - Exemptions | 2020-02-27 ~ |
| Taylor James Paul | 3632 Potomac Ave, Fort Worth, TX 76107 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Jeslyn M John | 3125 Sondra Drive, Fort Worth, TX 76107 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Envirosun LLC | 965 Foch St, Fort Worth, TX 76107 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Dfb Oncology, LLC | 3909 Hulen Street, Fort Worth, TX 76107 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-10-30 ~ |
| Neill J Hampton | 900 Matisse Drive, Fort Worth, TX 76107 | Professional Engineer | 2015-02-26 ~ 2016-01-31 |
| Arthur W Weinman | 550 Bailey Ave Ste 332, Ft Worth, TX 76107 | Architect | 2010-08-01 ~ 2011-07-31 |
| Dfb Technology, Ltd. · Dfb Technology Ltd. | 3909 Hulen Street, Fort Worth, TX 76107 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-01-30 ~ |
| Eclipse Meds LLC | 2800 Shamrock Ave Ste F, Fort Worth, TX 76107-1300 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 76107 | |||
| City | FORT WORTH |
| Zip Code | 76107 |
| License Type | Dentist |
| License Type + County | Dentist + FORT WORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Autumn N Gillham | 608 N State St, Weatherford, OK 73096-3840 | Registered Nurse | 2010-03-16 ~ 2010-09-30 |
| Michael R Gillham | 285 Lancaster Ave, Lunenburg, MA 01462 | Engineer-in-training | 2003-11-18 ~ 2013-11-18 |
| Oliver Gillham | 94 Washington Park, Newtonville, MA 02460 | Architect | 2007-08-01 ~ 2008-07-31 |
| Matthew B Capalbo | 59 Elm St, Westerly, RI 02891-2136 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Sandra S Gillham | 187 Willow St, Bridgeport, CT 06610-2972 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Larry R Young | C/o Gillham Gander & Chin, Boston, MA 02110 | Architect | 1999-08-01 ~ 2000-07-31 |
| Gerald Gillham | 18 Dancy Dr, Stamford, CT 06902-1405 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Matthew J Baker Dmd | 51 Depot St Ste 210, Watertown, CT 06795 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Matthew R Spatzner | 164 Atlantic Ave. # 3b, Brooklyn, NY 11201 | Dentist | 2008-03-28 ~ 2009-03-31 |
| Matthew Amaro Dmd | 17 Lafayette St, Norwich, CT 06360 | Dentist | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MATTHEW R GILLHAM.
| 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).