BRIAN S LETZEN
Resident Physician


Address: 1132 Avalon Dr E, Orange, CT 06477-3644

BRIAN S LETZEN (Credential# 1491852) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

BRIAN S LETZEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059587-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1132 Avalon Dr E, Orange, CT 06477-3644. The current status is active.

Basic Information

Licensee Name BRIAN S LETZEN
Credential ID 1491852
Credential Number 1.059587-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 1132 Avalon Dr E
Orange
CT 06477-3644
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-01
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1293382 CSP.0060574 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-06-10 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 1132 AVALON DR E
City ORANGE
State CT
Zip Code 06477-3644

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Michael P Chan 1132 Avalon Dr E, Orange, CT 06477-3639 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lauren Edelman 2111 Avalon Dr E, Orange, CT 06477-3644 Registered Nurse 2020-06-01 ~ 2021-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Rakesh H Patel Md 596 Cedar Grove, Orange, CT 06477 Physician/surgeon 2020-07-01 ~ 2021-06-30
John D Mainwaring Dds 240 Indian River Rd, Suite A7, Orange, CT 06477 Dentist 2020-08-01 ~ 2021-07-31
Hea Sun Kwak 477 Howellton Rd, Orange, CT 06477 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2021-08-31
Munsons Candy Kitchen Inc 109 Boston Post Rd, Orange, CT 06477 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Takashi Yoshikawa 151 Old Tavern Road, Orange, CT 06477 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Yam Wong 21 Country Club Close, Orange, CT 06477 Notary Public Appointment 2020-06-26 ~ 2025-06-30
Shitong Liu 519 Boston Post Rd Orange, Orange, CT 06477 Nail Technician ~
Robert A Lamparski Po B0x# 1183, Orange, CT 06477 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Rolando R Lopez 22 Tyler City Rd, Orange, CT 06477 Physician Assistant 2020-07-01 ~ 2021-06-30
Lisa Courtney 470 Locust Drive, Orange, CT 06477 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Find all Licenses in zip 06477

Competitor

Search similar business entities

City ORANGE
Zip Code 06477
License Type Resident Physician
License Type + County Resident Physician + ORANGE

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Dataset Information

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).

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