BRIAN A MOOGERFELD MD (Credential# 557006) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 21, 2003. The license expiration date date is January 31, 2004. The license status is INACTIVE.
BRIAN A MOOGERFELD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039421. The credential type is physician/surgeon. The effective date is January 21, 2003. The expiration date is January 31, 2004. The business address is 1221 Town Colony Dr, Middletown, CT 06457. The current status is inactive.
| Licensee Name | BRIAN A MOOGERFELD MD |
| Credential ID | 557006 |
| Credential Number | 1.039421 |
| Credential Type | Physician/Surgeon |
| Business Address |
1221 Town Colony Dr Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-04-11 |
| Effective Date | 2003-01-21 |
| Expiration Date | 2004-01-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 281026 | CSP.0031148 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 1221 TOWN COLONY DR |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| Brian B. Koo | 575 Lambert Rd, Orange, CT 06477-2403 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Brian W King | Po Box 23, Willimantic, CT 06226-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian M Keegan | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Brian Cohen | 58 Hilltop Cir, Milford, CT 06460-7526 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Brian M Liebler | 435 Highland Ave # 110, Cheshire, CT 06410-2572 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian Rank | 178 9th St E Ste 300, Saint Paul, MN 55101-2317 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).