DAVID A BRILL (Credential# 1333103) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DAVID A BRILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026632. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Po Box 710, Mystic, CT 06355-0710. The current status is active.
Licensee Name | DAVID A BRILL |
Credential ID | 1333103 |
Credential Number | 1.026632 |
Credential Type | Physician/Surgeon |
Business Address |
Po Box 710 Mystic CT 06355-0710 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1985-07-23 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1338929 | CSP.0062242 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-03-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | PO BOX 710 |
City | MYSTIC |
State | CT |
Zip Code | 06355-0710 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06355 |
City | MYSTIC |
Zip Code | 06355 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MYSTIC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lawrence F Brill · Lawrence F Brill Inc | 2901 Ponce Deleon Blvd, Coral Gables, FL 33134 | Professional Engineer | 1987-04-07 ~ 1988-01-31 |
David Brill | 5 Capital Dr., Wallingford, CT 06492 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
David L Patterson | 40 Brill Ave, Waterford, CT 06385 | Notary Public Appointment | 1979-03-01 ~ 1984-03-31 |
Kenneth S Brill Construction LLC | 28 Side Hill Rd, Branford, CT 06405 | New Home Construction Contractor | 2009-11-13 ~ 2011-09-30 |
David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
David D Giardina | 10 Little Fox La, Westport, CT 06880 | Physician/surgeon | 2004-07-06 ~ 2005-07-31 |
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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).