BRIAN A SCHMIDTBERG (Credential# 1488816) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BRIAN A SCHMIDTBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058211-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 133 Barkledge Dr., Newington, CT 06111. The current status is active.
| Licensee Name | BRIAN A SCHMIDTBERG |
| Credential ID | 1488816 |
| Credential Number | 1.058211-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
133 Barkledge Dr. Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1352612 | CSP.0062685 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 133 Barkledge Dr. |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren C Schmidtberg | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Brian S Henick | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Jonathan Brian Lis | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brian A Frankel | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Brian Wojeck | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Brian C Macgrory | 900 Chapel St Apt 244, New Haven, CT 06510-2820 | Resident Physician | 2016-07-01 ~ 2020-06-30 |
| Brian S Letzen | 1132 Avalon Dr E, Orange, CT 06477-3644 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brian Marcus | 4800 Sand Point Way Ne # Oc7.830, Seattle, WA 98105-3901 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| Brian L Wong | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Brian Wong Won | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
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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).