ERIC JEROME BRANDT (Credential# 1358757) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ERIC JEROME BRANDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063004. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 116 Kohary Dr, New Haven, CT 06515-2462. The current status is active.
| Licensee Name | ERIC JEROME BRANDT |
| Credential ID | 1358757 |
| Credential Number | CSP.0063004 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
116 Kohary Dr New Haven CT 06515-2462 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1670743 | 1.064249 | Physician/Surgeon | 2019-09-18 | 2019-09-18 - 2020-07-31 | ACTIVE |
| 1490600 | 1.058702-RES | Resident Physician | 2016-06-27 | 2016-06-27 - 2020-06-30 | ACTIVE |
| Street Address | 116 KOHARY DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2462 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chelsea E Brooks | 106 Kohary Dr, New Haven, CT 06515-2462 | Emergency Medical Technician | 2018-07-18 ~ 2020-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra S Brandt | 200 Kennedy Dr, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Leonard Brandt Md | 160 Simsbury Rd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Warren J Brandt Od | 1901 Black Rock Tpke, Fairfield, CT 06825-3506 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce Rothschild | 34 Jerome Ave Ste 110, Bloomfield, CT 06002-2463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deanna L Michaud | 378 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome F Odlum Dmd | Courtyard #20, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jerome L Lichtenstein | 113 Lafayette St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sunil Shah | 19 Jerome Dr, Farmingdale, NY 11735-1810 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 2021-02-28 |
| Joshua K Malouin | 339 Jerome Ave, Burlington, CT 06013-2434 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome Gnanaraj | 235 Seymour Ave, Derby, CT 06418-1325 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ERIC JEROME BRANDT.
| 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).