BRYAN P BLAIR (Credential# 400192) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRYAN P BLAIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037237. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 382 Bedford Rd, Chappaqua, NY 10514-2211. The current status is active.
| Licensee Name | BRYAN P BLAIR |
| Credential ID | 400192 |
| Credential Number | CSP.0037237 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
382 Bedford Rd Chappaqua NY 10514-2211 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-04-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560703 | 1.043121 | Physician/Surgeon | 2005-03-02 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 382 BEDFORD RD |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-2211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanley P Blair Dds | Po Box 238, Hartford, CT 06141-0238 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Blair D. Dierks | Mc 7140, Hartford, CT 06105-7140 | Controlled Substance Registration for Practitioner | 2011-04-27 ~ 2013-02-28 |
| B Glenn Blair Dpm | 375 Bridgeport Ave, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily E Blair Dr | 1735 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sherry Sanderson Blair | 47 Fairlee Rd, West Hartford, CT 06107-2908 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Syed Jafri | 3855 Blair Mill Rd Apt#231p, Horsham, PA 19044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Farnoosh Rahimi | 1401 Blair Mill Rd Apt 1715, Silver Spring, MD 20910-4874 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
| Richard Bryan Md | 8 Lenox Pl, Middletown, NY 10940-5506 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BRYAN P BLAIR.
| 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).