BRYAN HOERTDOERFER (Credential# 161698) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1993. The license expiration date date is October 1, 1995. The license status is INACTIVE.
BRYAN HOERTDOERFER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021585. The credential type is controlled substance registration for practitioner. The effective date is November 15, 1993. The expiration date is October 1, 1995. The business address is 55 Madison Avenue, Garden City Park, NY 11040. The current status is inactive.
| Licensee Name | BRYAN HOERTDOERFER |
| Credential ID | 161698 |
| Credential Number | CSP.0021585 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
55 Madison Avenue Garden City Park NY 11040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-11-15 |
| Expiration Date | 1995-10-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702428 | 2.007959 | Dentist | 1993-10-01 | 1993-11-16 - 1994-11-30 | INACTIVE |
| Street Address | 55 MADISON AVENUE |
| City | GARDEN CITY PARK |
| State | NY |
| Zip Code | 11040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hibah Aijaz | 54 Herbert Drive, New Hyde Park, NY 11040 | Physician/surgeon | 2018-12-03 ~ 2019-12-31 |
| Anna Marie Jardine · Harvey | 39 Flag Lane, New Hyde Park, NY 11040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Bruce H Safran | 2101 Royal Court, North Hills, NY 11040 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Roy B Cohen | 105 Elm La, New Hyde Park, NY 11040 | Optometrist | 2020-04-01 ~ 2021-03-31 |
| Poko Management Corp | 2417 Jericho Tpke, New Hyde Park, NY 11040 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Michael A. Bianco | 50 Rose Place, Garden City Park, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ananthakumar Thillainathan | 5 Camden Place, Newhydepark, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Deborah J Dolan | 1106 Jericho Tpke, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Gracemon Kuriakose | 1042 Hillside Blvd, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Johnson D Daniel | 121 South 9th Street, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Find all Licenses in zip 11040 | |||
| City | GARDEN CITY PARK |
| Zip Code | 11040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GARDEN CITY PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan S Jay Md | 9 Harbour Rd, Barrington, RI 02806-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan Too | 4k Staunton Ct, Farmington, CT 06032-3622 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Bryan P Rowe | 319 West St, Middletown, CT 06457-4008 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Maureen Pawlak Pa | 25 Bryan Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan Kerner | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | ~ |
| Bryan P Masterson | 24 Ironwood Dr, Pennellville, NY 13132-3143 | Controlled Substance Registration for Practitioner | 2011-07-07 ~ 2013-02-28 |
| Bryan G Kane Md | 550 Prospect St #10, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-01-07 ~ 2003-02-28 |
| Bryan Hampton Pa | 69 Chester St, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Bryan D Siegel | 12 Swarthmore Ln, Dix Hills, NY 11746-4829 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bryan V. Boffi Md | 4 Devonshire Ct, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BRYAN HOERTDOERFER.
| 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).