BRIAR LEA DENT (Credential# 1455855) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BRIAR LEA DENT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057320. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 14 Chapel Road, Waccabuc, NY 10597. The current status is active.
| Licensee Name | BRIAR LEA DENT |
| Credential ID | 1455855 |
| Credential Number | 1.057320 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Chapel Road Waccabuc NY 10597 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1498122 | CSP.0067602 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 Chapel Road |
| City | Waccabuc |
| State | NY |
| Zip Code | 10597 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher S Johnson | P.o. Box 96, Waccabuc, NY 10597 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Erin J Murray | 12 Post Office Road, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| John Samios | 24 Waccabuc River Ln, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lia Grasso | 24 Waccabuc River Lane, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mag Real Estate Advisors Inc | 36 East Ridge Road, Waccabuc, NY 10597 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kevin J Burke | 81 East Ridge Road, Waccabuc, NY 10597 | Notary Public Appointment | 2019-12-01 ~ 2024-11-30 |
| Linda Broudy | 81 Post Office Road, Waccabuc, NY 10597 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Mary T Dipaola | 24 Schoolhouse Road, Waccabuc, NY 10597 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Chariclia L Grasso | P O Box 454, Waccabuc, NY 10597 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Lance R Bruck Md | 42 Rockshelter Rd, Waccabuc, NY 10597 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10597 | |||
| City | Waccabuc |
| Zip Code | 10597 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waccabuc |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir G Artoul | C/o Med-dent Bsns, Clive, IA 50325 | Physician/surgeon | 2002-05-02 ~ 2003-02-28 |
| Sean P Roddy | 34 Dent Street, West Roxbury, MA 02132 | Physician/surgeon | 1997-11-04 ~ 1998-12-31 |
| Deepti Dhall | 73 Briar Ave, Edison, NJ 08817 | Physician/surgeon | 2005-10-03 ~ 2006-10-31 |
| Charlene A Browne | 2 Briar Ln, Bloomfield, CT 06002-1321 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Joseph S. Rosenberg | 15 Briar Ln, Jericho, NY 11753-2211 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Zae Y Zeon | 49 Briar Hollow Ln, Houston, TX 77027 | Physician/surgeon | 2000-10-27 ~ 2001-10-31 |
| Thomas P Buck | 17 Green Briar, Glastonbury, CT 06033-1469 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| A Joseph Kantharaj | 80 Briar Lane, Norwich, CT 06360 | Physician/surgeon | 2007-05-17 ~ 2008-05-31 |
| Susy T Abraham Md | 100 Briar Brae Rd, Stamford, CT 06903 | Physician/surgeon | 2005-04-25 ~ 2006-04-30 |
| Raymond K Akwayena | 217 Briar Hill Court, Wexford, PA 15090 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
Please comment or provide details below to improve the information on BRIAR LEA DENT.
| 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).