STEPHANIE M BRIAN MD (Credential# 564472) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
STEPHANIE M BRIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046890. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 92 Steeplechase Dr, Media, PA 19063-1975. The current status is inactive.
| Licensee Name | STEPHANIE M BRIAN MD |
| Credential ID | 564472 |
| Credential Number | 1.046890 |
| Credential Type | Physician/Surgeon |
| Business Address |
92 Steeplechase Dr Media PA 19063-1975 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-08-05 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 424229 | CSP.0038640 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-12-16 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 376654 | CSP.0035421 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-12 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 92 STEEPLECHASE DR |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1975 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Coyle | 112 Chesley Drive, Media, PA 19063 | Temporary Certified General Real Estate Appraiser | 2019-04-17 ~ 2020-04-17 |
| Mary H Rozzi | 417 Meadowhurst Lane, Media, PA 19063 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Matthew A Foster | 205 Cherrywood Lane, Media, PA 19063 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Janice E Kunst | 1521 Down Street, Media, PA 19063 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Russell Neithammer | 415 Jackson St, Media, PA 19063 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Charles Samuel Dunn | 1129 Roberts Rd, Media, PA 19063 | Veterinarian | ~ |
| Haimavathi Bhat | 340 Media Station Road, Media, PA 19063 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Robert H Linn | 1140 N Providecnce Rd, Media, PA 19063 | Architect | 2019-08-01 ~ 2020-07-31 |
| Wawa Dairy Farms | Baltimore Pike, Wawa, PA 19063 | Non-alcoholic Beverage & Water Bottlers | 1996-07-01 ~ 1997-06-30 |
| Thomas S Foley | 102 Black Bass Ln East, Media, PA 19063 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 19063 | |||
| City | MEDIA |
| Zip Code | 19063 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MEDIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
| Stephanie V Ng | 168 Linden St, Apt C2, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie H Swope Md | 295 Fox Drive, Boulder, CO 80303 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Stephanie A Garozzo | 1 Grove St Fl 2, New Britain, CT 06053-4116 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephanie A Christensen | 16 Canborne Way, Madison, CT 06443 | Physician/surgeon | 1994-05-13 ~ 1995-05-31 |
| Stephanie Mullany | P.o Box 480, Terra Ceia, FL 34250 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Stephanie J Saucier | 246 Richard St, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephanie D Prozora | 52 Magnolia Rd, Milford, CT 06461-9126 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephanie J Krusz | 750 Reservoir Ave, Cranston, RI 02910 | Physician/surgeon | 2007-03-29 ~ 2008-05-31 |
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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).