BRENDAN GONTARZ (Credential# 1489941) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2022. The license status is ACTIVE.
BRENDAN GONTARZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058627-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2022. The business address is 94 Howard St, Newington, CT 06111. The current status is active.
| Licensee Name | BRENDAN GONTARZ |
| Credential ID | 1489941 |
| Credential Number | 1.058627-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
94 Howard St Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-07 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1353921 | CSP.0062746 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 94 Howard st |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brendan Barry | 129 York St Apt 5f, New Haven, CT 06511-5605 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Brendan F Kinsella · Brendan Kinsella Construction | 55 Mist Hill Dr, Brookfield, CT 06804 | Home Improvement Contractor | ~ 1994-12-01 |
| Brendan R Walsh · Brendan's At The Elms | 500 Main Street, Ridgefield, CT 06877 | Restaurant Liquor | 2010-04-12 ~ 2011-03-30 |
| David J Gontarz | 121 Madison Rd, Durham, CT 06422-2910 | Asbestos Abatement Supervisor | 2014-01-24 ~ 2014-12-31 |
| Joan Gontarz | 248 Lower Lane, Berlin, CT 06037 | Hairdresser/cosmetician | 1992-09-24 ~ 1993-09-30 |
| Brendan James Sullivan | 245 5th Ave, New York, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Brendan M Fox | 43 Indianola Road, Niantic, CT 06357 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Brendan G Magauran | 199 N Maple St, Enfield, CT 06082 | Physician/surgeon | 2001-07-09 ~ 2002-08-31 |
| Marian Gontarz | 34-19 29th Street, Apt. 4a, Astoria, NY 11106 | Asbestos Abatement Supervisor | 2002-05-28 ~ 2002-11-30 |
| Brendan D Killory Md | 85 Seymour St Ste 1003, Hartford, CT 06106-5529 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on BRENDAN GONTARZ.
| 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).