BRYAN J BLONDER DO (Credential# 538234) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 4, 2001. The license expiration date date is October 31, 2002. The license status is INACTIVE.
BRYAN J BLONDER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000502-DO. The credential type is physician/surgeon. The effective date is September 4, 2001. The expiration date is October 31, 2002. The business address is C/o Mike Esposito, Bel Air, MD 21015. The current status is inactive.
Licensee Name | BRYAN J BLONDER DO |
Credential ID | 538234 |
Credential Number | 1.000502-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
C/o Mike Esposito Bel Air MD 21015 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-07-17 |
Effective Date | 2001-09-04 |
Expiration Date | 2002-10-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
150377 | CSP.0027416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-09-02 - 1999-02-28 | INACTIVE |
Street Address | C/O MIKE ESPOSITO |
City | BEL AIR |
State | MD |
Zip Code | 21015 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lori A Martin | 211 Mary Jane Lane, Bel Air, MD 21015 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Benchmark Contracting Services, LLC | 2231 Conowingo Rd., Bel Air, MD 21015 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
Kellie R Act | 660 Lochern Terrace, Bel Air, MD 21015 | Home Improvement Salesperson | 2006-05-09 ~ 2006-11-30 |
Barbara Darbouze | 315 Huntsman Court, Belair, MD 21015 | Master's Level Social Worker | 2016-05-01 ~ 2017-04-30 |
David M Birk | 2011 Valley View Dr, Bel Air, MD 21015 | Professional Engineer | 1994-02-24 ~ 1995-01-31 |
Kristine Rene' Quick | 2207 Oaks Hunt Ct, Bel Air, MD 21015 | Engineer-in-training | 2000-11-14 ~ 2010-11-14 |
Sandra Sikorski | 408 Darby Lane, Bel Air, MD 21015 | Hairdresser/cosmetician | 1996-06-25 ~ 1997-06-30 |
Stacy M Chandler | 201 Foxhall Drive, Bel Air, MD 21015 | Registered Nurse | 2006-01-20 ~ 2006-09-30 |
Barbara D Ogram · Daigle | 631 Camelot Drive, Bel Air, MD 21015 | Registered Nurse | 1993-09-23 ~ 1994-10-31 |
Julienne Regina Shank | 2200-d Candices Choice Ct, Bel Air, MD 21015 | Pharmacist | ~ |
Find all Licenses in zip 21015 |
City | BEL AIR |
Zip Code | 21015 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BEL AIR |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Valerie A Blonder · Blonder Group Inc C/r | 148 Forest Street, Manchester, CT 06040 | Home Improvement Contractor | 1995-07-01 ~ 1996-11-30 |
Blonder Group Inc | 148 Forest Street, Manchester, CT 06040 | Home Improvement Contractor | 1995-07-01 ~ 1996-11-30 |
David B. Blonder | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jeffrey A Blonder | 2 Graystone Road, Loudonville, NY 12211 | Physician/surgeon | 2008-11-21 ~ 2010-01-31 |
Bryan Ebert | 760 Westchester Ave Fl 2, Rye Brook, NY 10573-1341 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Bryan C Yen Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bryan E. Sage | 305 Woodrow Ave, Southport, CT 06890 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bryan R Holland Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
Herbie S Bryan | 89 East 231 Street, Bronx, NY 10466 | Physician/surgeon | 1988-08-18 ~ 1990-03-31 |
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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).