BRYAN MATHEW BROWN (Credential# 1489041) 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.
BRYAN MATHEW BROWN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060590. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 275 Winchester Ave, New Haven, CT 06511. The current status is active.
Licensee Name | BRYAN MATHEW BROWN |
Credential ID | 1489041 |
Credential Number | 1.060590 |
Credential Type | Physician/Surgeon |
Business Address |
275 Winchester Ave New Haven CT 06511 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-05-07 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1292322 | CSP.0060544 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
1491542 | 1.059277-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
Street Address | 275 Winchester Ave |
City | New Haven |
State | CT |
Zip Code | 06511 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Annaliese Difabbio | 275 Winchester Ave, New Haven, CT 06511 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
Stacy C Brown | 275 Winchester Ave, New Haven, CT 06511 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Brittany R Lewis | 275 Winchester Ave, New Haven, CT 06511 | Hairdresser/cosmetician | 2019-06-01 ~ 2021-05-31 |
Elizabeth N Yllanes | 275 Winchester Ave, New Haven, CT 06511 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Bennie Taylor II | 275 Winchester Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arianne Jeaneve Boylan | 275 Winchester Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Max Lindeman | 275 Winchester Ave, New Haven, CT 06511 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Alani Gregory | 275 Winchester Ave, New Haven, CT 06511 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | New Haven |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + New Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bryan Brown · Bryan Brown Architects LLC | 40 Louises Lane, New Canaan, CT 06840-5921 | Architect | 2020-08-01 ~ 2021-07-31 |
John Mathew | 10 Lattice Court, Melville, NY 11747 | Physician/surgeon | ~ |
Mathew Thomas Md | 450 Wedgewood Rd, Southington, CT 06489-2849 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mathew S Harris | 222 W Aster Ln, Mequon, WI 53092-6157 | Physician/surgeon | ~ 1984-10-31 |
Thomas S. Mathew | 500 Chase Pkwy, Waterbury, CT 06708-3346 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Dilip J Mathew | 34 Bayshore Drive, Milford, CT 06460 | Physician/surgeon | 1995-03-09 ~ 1996-01-31 |
Mathew Lefkowitz | 185 Montague Street, Brooklyn, NY 11201 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Ajith T Mathew | 800 West St Unit 2310, Braintree, MA 02184-3866 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
Santy S Mathew | 2318 Shadow Falls Lane, Pearland, TX 77584 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Soni Mathew | Ge Aviation Health and Wellness Center, Lynn, MA 01905 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).