BRIAN BELTRANI (Credential# 1247610) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
BRIAN BELTRANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003219. The credential type is physician assistant. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 135 Pearl St Apt 3, Middletown, CT 06457-2823. The current status is inactive.
| Licensee Name | BRIAN BELTRANI |
| Credential ID | 1247610 |
| Credential Number | 23.003219 |
| Credential Type | Physician Assistant |
| Business Address |
135 Pearl St Apt 3 Middletown CT 06457-2823 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-10-15 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1250514 | CSP.0058895 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-17 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 135 PEARL ST APT 3 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raine T. Oesterle | 135 Pearl St Apt 6, Middletown, CT 06457-2823 | Master's Level Social Worker - Temporary Permit | 2020-05-25 ~ 2020-09-07 |
| Nancy O'halloran | 135 Pearl St Apt 2, Middletown, CT 06457-2823 | Public Weigher | 2012-07-01 ~ 2013-06-30 |
| 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 Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian T Maurer Pa | 19 Maple St, Tariffville, CT 06081-9636 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian D O'donnell | Po Box 426, Marshfield Hills, MA 02051-0426 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
| Brian C Michaels | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
| Brian A Karwaski | 68 Chatham Dr, Manchester, CT 06042-8521 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian Madray Pulayya | 173 Kassik Cir, Orlando, FL 32824-5829 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brian Korn Pa | 606 Foster St, South Windsor, CT 06074-2958 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
| R Brian Lenoci | 15 Liberty Street, Madison, CT 06443 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Brian P Munday | 222 Penn Dr, West Hartford, CT 06119-1044 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Brian Fillmore | 45 Old Barnabas Road, Woodbridge, CT 06525 1947 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brian R Theroux Pa | 23 Knight Hill Rd, Clayville, RI 02815 | Physician Assistant | 2004-05-19 ~ 2005-05-31 |
Please comment or provide details below to improve the information on BRIAN BELTRANI.
| 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).