WAYNE H GORDON (Credential# 993030) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
WAYNE H GORDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049907. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 9240 Mcclellan Dr, New Albany, OH 43054-7122. The current status is active.
| Licensee Name | WAYNE H GORDON |
| Credential ID | 993030 |
| Credential Number | 1.049907 |
| Credential Type | Physician/Surgeon |
| Business Address |
9240 Mcclellan Dr New Albany OH 43054-7122 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-05-31 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1001497 | CSP.0050430 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-10 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 9240 MCCLELLAN DR |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-7122 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald S Shremshock · Shremshock Architects Inc. | 7400 W. Campus Rd, New Albany, OH 43054 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stefani Jo Jeffers | 4104 Harlem Road, New Albany, OH 43054 | Registered Nurse | ~ |
| Simon A Sekulovski | 7823 Calverton Sq, New Albany, OH 43054 | Emergency Medical Technician | ~ |
| Jaclyn Nicole Burgess | 7400 West Campus Rd., New Albany, OH 43054 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda Ellen Gomez | 6453 Albany Pond, New Albany, OH 43054 | Registered Nurse | 2020-03-10 ~ 2020-11-30 |
| Jean Park | 6005 Nacot Place, New Albany, OH 43054 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeromy T Perry | 7400 W. Campus Rd., New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shigeyoshi A Moroi | 5142 Settlement Drive, New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dennis A Guenther | 44 Keswick Woods Drive, New Albany, OH 43054 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Anthony Michael Gastaldo | 5038 Notting Hill Dr., New Albany, OH 43054 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 43054 | |||
| City | NEW ALBANY |
| Zip Code | 43054 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW ALBANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon Kuster Md | P.o. Box 103, Stephentown, NY 12168 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Gordon F Buchanan | 345 Old Whitfield St, Guilford, CT 06437 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Gordon L Kritzer | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 1991-12-20 ~ 1992-12-31 |
| Benjamin D Gordon Md | 14 Hillsea Rd, Yarmouth, MD 02675-1111 | Physician/surgeon | 2003-01-16 ~ 2004-03-31 |
| Neil A Gordon | 539 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon C Streeter Md | 51 Island Ave, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gary S Gordon | 600 N. Mcclurg Ct, Chicago, IL 60611 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Gordon K Sze | 123 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gordon S Raskin | P.o.box 8372, Berkeley, CA 94107 | Physician/surgeon | 2003-02-27 ~ 2004-02-29 |
Please comment or provide details below to improve the information on WAYNE H GORDON.
| 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).