GORDON T ANDREWS MD (Credential# 891274) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
GORDON T ANDREWS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048149. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349. The current status is inactive.
| Licensee Name | GORDON T ANDREWS MD |
| Credential ID | 891274 |
| Credential Number | 1.048149 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-09-21 |
| Effective Date | 2013-08-01 |
| Expiration Date | 2014-07-31 |
| Refresh Date | 2014-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 899726 | CSP.0046843 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-20 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 11995 SINGLETREE LN STE 500 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Albert C Ybasco | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gregg P Sydow | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Scott R Kerns | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Reem S Awwad | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alan S Muraki | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Steven B Edson | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bruce J Thaler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Toothman | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Christian Binder | Suite 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Priti B Ram Md | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Peter D Holt | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
| Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Richard S Chang | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EDEN PRAIRIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea E Andrews Md | Po Box 390695, Snellville, GA 30039 | Physician/surgeon | 2005-04-06 ~ 2006-04-30 |
| Jane Andrews | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Patrick F Carone | 43 Andrews Dr, Massapequa Pk, NY 11762 | Physician/surgeon | 2004-11-01 ~ 2005-10-31 |
| Priyanka Deb | 300 Andrews Way Apt 102, South Windsor, CT 06074-6997 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph F Andrews Jr | 17 Heritage Dr, Trumbull, CT 06611-1540 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ahmed Shafi | 3 St. Andrews Drive, Farmington, CT 06032 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Neena R Gupta | 4 Saint Andrews Way, Barrington, RI 02806 | Physician/surgeon | 2008-12-01 ~ 2009-12-31 |
| Raymond B Andrews | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
| Susan W Andrews | 235 Rollingwood Dr., North Kingstown, RI 02852 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Eytan Raz | 6700 N Andrews Ave Ste 600, Fort Lauderdale, FL 33309-2199 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
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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).