KENNETH B BRISKIN MD (Credential# 161370) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
KENNETH B BRISKIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023388. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 800 Howard Avenue, New Haven, CT 06520. The current status is inactive.
| Licensee Name | KENNETH B BRISKIN MD |
| Credential ID | 161370 |
| Credential Number | CSP.0023388 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
800 Howard Avenue New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552210 | 1.034614 | Physician/Surgeon | 1995-06-30 | 1996-10-29 - 1997-12-31 | INACTIVE |
| Street Address | 800 HOWARD AVENUE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Medvecky Md | 800 Howard Avenue, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ayse Sule Tinaz | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter Jokl | 800 Howard Avenue, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Wong | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jorge O Moreno | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Saral Mehra | 800 Howard Avenue, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel B Dicapua | 800 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dieter M Lindskog Md | 800 Howard Avenue, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Haven Free Clinic | 800 Howard Avenue, New Haven, CT 06510 | Outpatient Clinic | 2017-02-14 ~ 2020-12-31 |
| James C Alex | 800 Howard Avenue, New Haven, CT 06520-1304 | Physician/surgeon | 2003-01-22 ~ 2004-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth O. Bonaparte | Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth M Gheen Md | 809 Noe Rd, Larkspur, CO 80118 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kenneth J Eagan Dds | 146 Elm St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kenneth Powers Md | 50 Orchard Ave, Rye, NY 10580-2806 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth R Morgan | 101 Waterville Rd, Southport, CT 06490 | Controlled Substance Registration for Practitioner | 1993-12-15 ~ 1996-01-01 |
| Kenneth E White Md | 103 Whitney Ave, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1994-05-04 ~ 1996-05-01 |
| Kenneth P Sunshine Dds | 5 Exeter Ct, Mystic, CT 06355-3112 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth W Gerard | 8 Aquamarine Dr, Key West, FL 33040-5601 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kenneth Chung | 266 Pearl St Apt 306, Hartford, CT 06103-2012 | Controlled Substance Registration for Practitioner | 2013-04-22 ~ 2015-02-28 |
| Kenneth J Pellegrino Md | 8 Isabels Way, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).