BRIAN ADDIS COSTELLO (Credential# 1383731) 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.
BRIAN ADDIS COSTELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056070. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 200 First Street Sw, Rochester, MN 55905. The current status is active.
| Licensee Name | BRIAN ADDIS COSTELLO |
| Credential ID | 1383731 |
| Credential Number | 1.056070 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 First Street Sw Rochester MN 55905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-01-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| Street Address | 200 First Street SW |
| City | Rochester |
| State | MN |
| Zip Code | 55905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Lynn Hansel | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott Heitaka Okuno | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John Charles O'horo | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Edward Kraichely | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carrie Langstraat | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-02-10 ~ 2021-02-28 |
| Robert Mutter | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-02-07 ~ 2021-02-28 |
| Karthik Ravi | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Aaron Joseph Tande | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-02-14 ~ 2020-12-31 |
| Amindra Singh Arora | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Jayant Awinash Talwalkar | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mayo Foundation for Medical Education and Research | 200 First Street, Sw, Rochester, MN 55905 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Mark D Topazian Md | Mayo Clinic, Rochester, MN 55905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sahil Khanna | Mayo Clinic, Rochester, MN 55905 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Gurinder M Vasdev | Dept of Anesthesia, Rochester, MN 55905 | Physician/surgeon | 1996-10-11 ~ 1997-07-31 |
| Aref Al-kali | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vandana Nehra | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Svetomir Markovic | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-06-08 ~ 2021-05-31 |
| Robert D Brown | 200 First Street, Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Glenn Leonard Alexander | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 55905 | |||
| City | Rochester |
| Zip Code | 55905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Rochester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Viren Premnath Punja | 156 Addis Dr, Churchville, PA 18966 | Physician/surgeon | 2009-08-24 ~ 2010-02-28 |
| Victoria Costello | 263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Al Costello · Costello's Roofing | 75 Beaver Road, Wethersfield, CT 06109 | Home Improvement Contractor | 1998-12-11 ~ 1999-11-30 |
| Costello Const Co | 123 Costello Rd, Newington, CT 06111 | Demolition Contractor | 1976-10-01 ~ 1977-09-30 |
| Brian M Reich · Giovanni Lomonte | 147 Costello Rd, Newington, CT 06111 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Brian M Keegan | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Brian B. Koo | 575 Lambert Rd, Orange, CT 06477-2403 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
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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).