BRIAN K FORMANEK
Emergency Medical Technician


Address: 175 Timber Trl, East Hartford, CT 06118-3559

BRIAN K FORMANEK (Credential# 1201634) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is December 24, 2015. The license expiration date date is September 30, 2019. The license status is INACTIVE.

Business Overview

BRIAN K FORMANEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.017378. The credential type is emergency medical technician. The effective date is December 24, 2015. The expiration date is September 30, 2019. The business address is 175 Timber Trl, East Hartford, CT 06118-3559. The current status is inactive.

Basic Information

Licensee Name BRIAN K FORMANEK
Credential ID 1201634
Credential Number 70.017378
Credential Type Emergency Medical Technician
Business Address 175 Timber Trl
East Hartford
CT 06118-3559
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-03-17
Effective Date 2015-12-24
Expiration Date 2019-09-30
Refresh Date 2019-12-29

Office Location

Street Address 175 TIMBER TRL
City EAST HARTFORD
State CT
Zip Code 06118-3559

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Paul Amoako 183 Timber Trl, East Hartford, CT 06118-3559 Registered Nurse ~
Daryl E Payne 121 Timber Trl, East Hartford, CT 06118-3559 Licensed Clinical Social Worker 2019-12-01 ~ 2020-11-30
Anthony W Scelfo 191 Timber Trl, East Hartford, CT 06118-3559 Asbestos Abatement Supervisor 2014-05-16 ~ 2014-07-31
Kayla M Bussiere 191 Timber Trl, East Hartford, CT 06118-3559 Registered Nurse ~

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Laura E Lopez 650 Forbes St, East Hartford, CT 06118 Registered Nurse 2020-07-01 ~ 2021-06-30
Dennis Frimpong-manso 72 Primrose Drive, East Hartford, CT 06118 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City EAST HARTFORD
Zip Code 06118
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + EAST HARTFORD

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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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