BRIAN MICHAEL PICCIANO (Credential# 1412714) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BRIAN MICHAEL PICCIANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003821. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 158 Cherry St Apt 2d, Milford, CT 06460-3446. The current status is active.
| Licensee Name | BRIAN MICHAEL PICCIANO |
| Credential ID | 1412714 |
| Credential Number | 23.003821 |
| Credential Type | Physician Assistant |
| Business Address |
158 Cherry St Apt 2d Milford CT 06460-3446 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-04-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1437416 | CSP.0066286 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 158 CHERRY ST APT 2D |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3446 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Andrew Kenworthy | 158 Cherry St Apt 2d, Milford, CT 06460-3446 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natacha Louis-charles | 158 Cherry St Apt 2l, Milford, CT 06460-3446 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra E Oechsner | 158 Cherry St Apt 2f, Milford, CT 06460-3446 | Real Estate Salesperson | 2012-06-27 ~ 2013-05-31 |
| Millie A Klein | 158 Cherry St Apt 2b, Milford, CT 06460-3446 | Respiratory Care Practitioner | 2014-05-01 ~ 2015-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 Beltrani | 135 Pearl St Apt 3, Middletown, CT 06457-2823 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Brian T Maurer Pa | 19 Maple St, Tariffville, CT 06081-9636 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian A Karwaski | 68 Chatham Dr, Manchester, CT 06042-8521 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Brian P Munday | 222 Penn Dr, West Hartford, CT 06119-1044 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| R Brian Lenoci | 15 Liberty Street, Madison, CT 06443 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
| Brian Remes | 41 Proctor Dr, West Hartford, CT 06117-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Brian R Theroux Pa | 23 Knight Hill Rd, Clayville, RI 02815 | Physician Assistant | 2004-05-19 ~ 2005-05-31 |
| Brian Korn Pa | 606 Foster St, South Windsor, CT 06074-2958 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
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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).