ERIC ANTHONY BRUECKNER (Credential# 1398229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ERIC ANTHONY BRUECKNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056153-DO. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 263 Farmington Ave., Farmington, CT 06030. The current status is active.
| Licensee Name | ERIC ANTHONY BRUECKNER |
| Credential ID | 1398229 |
| Credential Number | 1.056153-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
263 Farmington Ave. Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-17 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1404238 | CSP.0064835 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 263 Farmington Ave. |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas E Lawlor Md · Univ. of Conn Health Center | 263 Farmington Ave., Farmington, CT 06032-1800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Anthony Carrese | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Catherine F Lewis | 263 Farmington Ave., Farmington, CT 06030-2103 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kristin R Tangredi | 263 Farmington Ave., Farmington, CT 06030-2915 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Adrienne B Berke Md | Uconn Health Ctr Dermatology Mc-6230, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martina Brueckner | Yale Univ School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eric J Sax | 9 Old Sudbury Rd, Lincoln, MA 01773-4807 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Eric A Nazziola | 172 Middlesex Ave, Paramus, NJ 07652-3223 | Physician/surgeon | ~ |
| Eric Weil | 76 Center St Fl 3, Waterbury, CT 06702-2129 | Physician/surgeon | ~ |
| Eric M Braunstein | Stockton, CA 95204 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Eric Jacobson | 313 Den Road, Stamford, CT 06903 | Physician/surgeon | 2002-04-23 ~ 2003-05-31 |
| Eric Reiner Md | 10 Fraser Dr, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eric J Sigler | 21a Cedar Dr, Massapequa, NY 11758-6751 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Eric N Thompson | 495 Route 184, Groton, CT 06340 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Eric A Bogner | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on ERIC ANTHONY BRUECKNER.
| 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).