GREGORY B. PARK (Credential# 921870) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 7, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
GREGORY B. PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048868. The credential type is physician/surgeon. The effective date is June 7, 2010. The expiration date is April 30, 2011. The business address is 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095. The current status is inactive.
| Licensee Name | GREGORY B. PARK |
| Credential ID | 921870 |
| Credential Number | 1.048868 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Masonic Ave Ste 2100 Wallingford CT 06492-3095 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-06-07 |
| Effective Date | 2010-06-07 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| Street Address | 67 MASONIC AVE STE 2100 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Bowers Md | 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Erin E Schuster | 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Huang Md | 67 Masonic Ave Ste 3100, Wallingford, CT 06492-3095 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Marcel L Green | 67 Masonic Ave Ste 2400, Wallingford, CT 06492-3095 | Chiropractor | 2020-04-01 ~ 2021-03-31 |
| Jackson P Maille Md | 67 Masonic Ave, Wallingford, CT 06492-3095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory Paul Phillies | 199 Park Club Lane, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Gregory Scott Shields | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Gregory Lombardo | 6 Lyndel Rd, Pound Ridge, NY 10576 | Physician/surgeon | ~ |
| Gregory Dworkin Md | 4 Fox Run Lane, Newtown, CT 06470 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory V Babigian | 18 Harness Rd, St. James, NY 11780 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gregory H. Adkisson | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Gregory Slachta Md | 222 Carew St, Springfield, MA 01104 | Physician/surgeon | 1997-01-13 ~ 1998-03-31 |
Please comment or provide details below to improve the information on GREGORY B. PARK.
| 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).