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.
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.
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 |
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 |
Street Address | 1132 AVALON DR E |
City | ORANGE |
State | CT |
Zip Code | 06477-3644 |
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 |
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 |
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 |
City | ORANGE |
Zip Code | 06477 |
License Type | Resident Physician |
License Type + County | Resident Physician + ORANGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian C Macgrory | 900 Chapel St Apt 244, New Haven, CT 06510-2820 | Resident Physician | 2016-07-01 ~ 2020-06-30 |
Brian A Schmidtberg | 133 Barkledge Dr., Newington, CT 06111 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
Brian S Henick | 333 Cedar St, New Haven, CT 06510-3206 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
Brian Wojeck | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2019-07-02 ~ 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 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 S Raitzin | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
Brian P Bustos | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
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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).