BRIANNE DOHERTY (Credential# 2041870) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 10, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
BRIANNE DOHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066166. The credential type is physician/surgeon. The effective date is June 10, 2020. The expiration date is April 30, 2021. The business address is 206 W Broadway, Port Jefferson, NY 11777-1316. The current status is active.
| Licensee Name | BRIANNE DOHERTY |
| Credential ID | 2041870 |
| Credential Number | 1.066166 |
| Credential Type | Physician/Surgeon |
| Business Address |
206 W Broadway Port Jefferson NY 11777-1316 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-10 |
| Effective Date | 2020-06-10 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2053071 | CSP.0074398 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-10 | 2020-06-10 - 2021-02-28 | ACTIVE |
| Street Address | 206 W BROADWAY |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1316 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cecilia Avila | 111 Jones Ave., Port Jefferson, NY 11777 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Yu Kan Au | 23 Texaco Ave, Port Jefferson, NY 11777 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| James R Grundhoffer | 108 Dogwood Road, Port Jefferson, NY 11777 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steve M Nenninger | 109 Randall Ave, Port Jefferson, NY 11777 | Naturopathic Physician | 2019-12-01 ~ 2020-11-30 |
| Matthew Bardram · Jason Witover/prof Chimney Company | 101 Peninsula Drive, Port Jefferson, NY 11777 | Home Improvement Salesperson | 1998-12-24 ~ 1999-11-30 |
| Craig H Rosenberg | 112 Cliff Road, Port Jefferson, NY 11777 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Christopher C Voorhis | 17 Buena Vista Rd, Port Jefferson, NY 11777 | Engineer-in-training | 2006-03-16 ~ 2016-03-16 |
| Howard L Elman | 31 Old Post Rd, Jefferson, NY 11777 | Professional Engineer | 1989-02-21 ~ 1990-01-31 |
| John A Grillo | 1213 Main Street, Pt Jefferson, NY 11777 | Architect | 2012-08-01 ~ 2013-07-31 |
| Saverio Governale | 17 Baylis Ave, Port Jefferson, NY 11777 | Electrical Unlimited Contractor | ~ |
| Find all Licenses in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORT JEFFERSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terrence A Doherty | 19 Halls Rd, Old Lyme, CT 06371 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael H Doherty, Md | 64 Greenwood Rd, Dublin, NH 03444-8220 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Leomerto A Somera | 9 Doherty Dr, Wallingford, CT 06492-2689 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brianne Builders LLC | 102 Stafford Rd, Burlington, CT 06013 | Home Improvement Contractor | 2013-12-11 ~ 2014-11-30 |
| Harold E Doherty | 3175 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2009-05-01 ~ 2010-04-30 |
| William J Doherty | Orthopedic Surg, Melrose, MA 02176 | Physician/surgeon | 1992-12-22 ~ 1993-10-31 |
| Maureen A Doherty | 1613 N. Harrison Parkway, Sunrise, FL 33323 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Philip J Doherty · Doherty Construction | 9 Orchard Hill Dr, Granby, CT 06035 | Home Improvement Contractor | 1996-01-17 ~ 1996-11-30 |
| Sean M Doherty · Doherty Painting | 169 Mungertown Rd, Madison, CT 06443 | Home Improvement Contractor | 1995-06-09 ~ 1995-11-30 |
| Doherty Kelly & Associates Inc · Daniel J Doherty IIi | 120 Presidential Way, Woburn, MA 01801 | Real Estate Broker | 2000-06-01 ~ 2001-03-31 |
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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).