BRIAN M WENGROVER
Dentist


Address: 191 E 76th St Apt 6c, New York, NY 10021-2809

BRIAN M WENGROVER (Credential# 1422064) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.

Business Overview

BRIAN M WENGROVER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011829. The credential type is dentist. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 191 E 76th St Apt 6c, New York, NY 10021-2809. The current status is inactive.

Basic Information

Licensee Name BRIAN M WENGROVER
Credential ID 1422064
Credential Number 2.011829
Credential Type Dentist
Business Address 191 E 76th St Apt 6c
New York
NY 10021-2809
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-06-14
Effective Date 2018-12-01
Expiration Date 2019-11-30
Refresh Date 2020-03-04

Office Location

Street Address 191 E 76TH ST APT 6C
City NEW YORK
State NY
Zip Code 10021-2809

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Ryan C Ciambriello 423 E 73rd St. Apt 2d, New York, NY 10021 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Maxxwell S Crowley 315 East 73 Rd Street Apt #4, New York, NY 10021 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jean P Simon 36 E 70 Th Street, New York, NY 10021 Physician/surgeon 2020-07-01 ~ 2021-06-30
Todd James Albert 541 East 71st Street, New York, NY 10021 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW YORK
Zip Code 10021
License Type Dentist
License Type + County Dentist + NEW YORK

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Brian J May 229 Highland Ave, Waterbury, CT 06708 Dentist 1999-04-08 ~ 2000-05-31
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Brian D. Greenberg 303 E 83rd St Apt 6e, New York, NY 10028-4316 Dentist 2011-02-01 ~ 2012-02-29
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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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