JANE M BROTANEK MD (Credential# 1024567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JANE M BROTANEK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050206. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 38b Grove St, Ridgefield, CT 06877-4665. The current status is active.
| Licensee Name | JANE M BROTANEK MD |
| Credential ID | 1024567 |
| Credential Number | 1.050206 |
| Credential Type | Physician/Surgeon |
| Business Address |
38b Grove St Ridgefield CT 06877-4665 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-05 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1029109 | CSP.0051236 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 38B GROVE ST |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-4665 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melanie Puza Pearl | 38b Grove St, Ridgefield, CT 06877-4665 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Kelly B Raymond | 38b Grove St, Ridgefield, CT 06877-4665 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Ronald J Raymond Jr | 38b Grove St, Ridgefield, CT 06877 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Joanne Angiello Md | 38b Grove St, Ridgefield, CT 06877-4665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brucato Plastic Surgery Center, LLC | 38b Grove St, Ridgefield, CT 06877-4665 | Out-patient Surgical Facility | 2017-10-01 ~ 2019-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane S Rasmussen | 438 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Jane Andrews | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Jane K Tuller | 55 Midway Dr, Cromwell, CT 06416 | Physician/surgeon | 1994-03-15 ~ 1995-03-31 |
| Jane M Kanowitz | 78 Bradley St, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jane R Cross | 74 Massasoit St, Northampton, MA 01060 | Physician/surgeon | 1995-02-07 ~ 1996-02-29 |
| Hyun Ju Jane Im | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jane E Asch | 111 Park St, New Haven, CT 06511-5412 | Physician/surgeon | 1983-07-19 ~ 1986-04-30 |
| Jane R Lubin Md | 31 Buckingham Pl, Norwalk, CT 06851-5003 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jane A Starr | 205 Deer Run, Burlington, CT 06013 | Physician/surgeon | 2004-02-27 ~ 2005-04-30 |
| Spinks H Marsh | C/o Jane Laco, Plymouth, MN 55446 | Physician/surgeon | 2004-08-13 ~ 2005-09-30 |
Please comment or provide details below to improve the information on JANE M BROTANEK MD.
| 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).