GLENN GART MD (Credential# 551127) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GLENN GART MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033528. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 72 Pine St, Bristol, CT 06010-6960. The current status is active.
| Licensee Name | GLENN GART MD |
| Credential ID | 551127 |
| Credential Number | 1.033528 |
| Credential Type | Physician/Surgeon |
| Business Address |
72 Pine St Bristol CT 06010-6960 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-02-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163127 | CSP.0021966 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 72 PINE ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-6960 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avrom Gart | 418 Cascada Way, Los Angeles, CA 90049-1711 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Glenn J. Freeman Md | P.o. Box 339, Englewood, FL 34295-0339 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Glenn Feole Md | 90 Myrtle Ave, Westport, CT 06880 | Physician/surgeon | 1999-02-22 ~ 2000-02-29 |
| Glenn D Pomerantz | 21 Livingston Rd, Sharon, MA 02067-2711 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Glenn H Segal | 46 Sullivan Rd, New Milford, CT 06776 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Glenn A Meltzer | 33 Lincoln St, Worcester, MA 01605 | Physician/surgeon | 1998-05-11 ~ 1999-05-31 |
| Glenn Flores | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Glenn W Currier | 66 Downing St, New Haven, CT 06513 | Physician/surgeon | 1993-10-25 ~ 1994-11-30 |
| Glenn H Boyar | 670 Stoneleigh Ave, Carmel, NY 10512 | Physician/surgeon | 2008-04-02 ~ 2009-06-30 |
| Glenn C Griffiths | 11 Merritt Dr., Paquoson, VA 23662 | Physician/surgeon | 1988-05-06 ~ 1994-11-30 |
Please comment or provide details below to improve the information on GLENN GART MD.
| 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).