BART L CALOBRISI MD
Physician/surgeon


Address: 218 Deerfield Ridge Dr, Mystic, CT 06355-1166

BART L CALOBRISI MD (Credential# 548664) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.

Business Overview

BART L CALOBRISI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030747. The credential type is physician/surgeon. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 218 Deerfield Ridge Dr, Mystic, CT 06355-1166. The current status is inactive.

Basic Information

Licensee Name BART L CALOBRISI MD
Credential ID 548664
Credential Number 1.030747
Credential Type Physician/Surgeon
Business Address 218 Deerfield Ridge Dr
Mystic
CT 06355-1166
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-05-04
Effective Date 2010-11-01
Expiration Date 2011-10-31
Refresh Date 2010-09-01

Other licenses

ID Credential Code Credential Type Issue Term Status
159413 CSP.0018232 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 218 DEERFIELD RIDGE DR
City MYSTIC
State CT
Zip Code 06355-1166

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Brenda L Blair 218 Deerfield Ridge Dr, Mystic, CT 06355-1166 Wholesaler Salesman 2012-10-09 ~ 2013-01-31

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Licensee Name Office Address Credential Effective / Expiration
Jessica R Level 202 Deerfield Ridge Dr, Mystic, CT 06355-1166 Pharmacy Technician 2019-04-01 ~ 2020-03-31

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Mark A Comeau 6 School Street, Mystic, CT 06355 Architect 2020-08-01 ~ 2021-07-31
Mekhael E Srour 2 Stonington Road, Mystic, CT 06355 Real Estate Salesperson ~
Courtney Jane Littlewood 244 High Meadow Ln, Mystic, CT 06355 Master's Level Social Worker 2020-07-01 ~ 2021-06-30
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City MYSTIC
Zip Code 06355
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MYSTIC

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Dataset Information

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).

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