BRYAN E. SAGE (Credential# 1363153) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRYAN E. SAGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055560. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 305 Woodrow Ave, Southport, CT 06890. The current status is active.
| Licensee Name | BRYAN E. SAGE |
| Credential ID | 1363153 |
| Credential Number | 1.055560 |
| Credential Type | Physician/Surgeon |
| Business Address |
305 Woodrow Ave Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-28 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1267115 | CSP.0059472 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 742682 | 23.000933 | Physician Assistant | 2000-02-01 | 2018-03-01 - 2019-02-28 | INACTIVE |
| 1268769 | CSP.0059555 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-21 | 2015-07-21 - 2017-02-28 | INACTIVE |
| 228487 | CSP.0029220 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 305 Woodrow Ave |
| City | Southport |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | Southport |
| Zip Code | 06890 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George E Mandalos | 19 Sage Drive, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Geva E Mannor | 28 Sage Terrace, Scarsdale, NY 10583 | Physician/surgeon | 1999-10-13 ~ 2000-09-30 |
| Norman S Werdiger | 43 Sage Hollow Road, Guilford, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sage Way | 115 Sage Way, Torrington, CT 06790 | Community Living Arrangement | 2019-11-01 ~ 2021-11-30 |
| Bryan J Blonder Do | C/o Mike Esposito, Bel Air, MD 21015 | Physician/surgeon | 2001-09-04 ~ 2002-10-31 |
| Bryan R Holland Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bryan C Yen Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
| Bryan Ebert | 760 Westchester Ave Fl 2, Rye Brook, NY 10573-1341 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Bryan Mathew Brown | 275 Winchester Ave, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on BRYAN E. SAGE.
| 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).