RAYMOND J GAMBARDELLA DMD (Credential# 741607) is licensed (Dental Anesthesia/conscious Sedation Permit) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
RAYMOND J GAMBARDELLA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.004361. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 2560 Dixwell Ave, Hamden, CT 06514-1851. The current status is inactive.
| Licensee Name | RAYMOND J GAMBARDELLA DMD |
| Credential ID | 741607 |
| Credential Number | 22.004361 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
2560 Dixwell Ave Hamden CT 06514-1851 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-04-01 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152228 | CSP.0005468 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| 700398 | 2.004361 | Dentist | 1971-07-15 | 2017-12-01 - 2018-11-30 | INACTIVE |
| Street Address | 2560 DIXWELL AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-1851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dana C Ranani Md | 2560 Dixwell Ave, Hamden, CT 06514-1851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yale New Haven Hospital | 2560 Dixwell Ave, Hamden, CT 06514-1851 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Marshall D Kurtz | 129 Park Ave, Danbury, CT 06810-7504 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Robert M Yudell Md | 90 Morgan St Ste 207, Stamford, CT 06905-5436 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Garrick Alex | 23 Maple Ave, Greenwich, CT 06830-5620 | Dental Anesthesia/conscious Sedation Permit | 2020-05-20 ~ 2021-05-31 |
| William J Lucey Jr | 391 Main St, Bristol, CT 06010 | Dental Anesthesia/conscious Sedation Permit | 1999-03-01 ~ 1999-09-14 |
| Stephen S Rozen | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2015-05-01 ~ 2016-04-30 |
| Donald J Case Dmd | 27 Bridge St, Stamford, CT 06905 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Karen S. Ablow | 145 Durham Rd Ste 2, Madison, CT 06443-2656 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| George A Murphy IIi | 110 Hopmeadow St, Weatogue, CT 06089-9407 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on RAYMOND J GAMBARDELLA DMD.
| 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).