BRENT DEE OLSON (Credential# 1504230) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2022. The license status is ACTIVE.
BRENT DEE OLSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060291-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2022. The business address is 34 Maple St, Norwalk, CT 06850-3815. The current status is active.
Licensee Name | BRENT DEE OLSON |
Credential ID | 1504230 |
Credential Number | 1.060291-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
34 Maple St Norwalk CT 06850-3815 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-07-01 |
Effective Date | 2018-07-01 |
Expiration Date | 2022-06-30 |
Refresh Date | 2020-03-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1623794 | CSP.0070060 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-04 | 2019-01-04 - 2021-02-28 | ACTIVE |
2035067 | 1 | Physician/Surgeon | - | PENDING |
Street Address | 34 MAPLE ST |
City | NORWALK |
State | CT |
Zip Code | 06850-3815 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas Heliotis | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Hemani Patel | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Sarah Margolskee | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Silpa Jetty | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Francesca Ceci | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Mandana Chitsazan | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Srikala Gumireddy | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Amit Jatana | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Muhsina Moushumi | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Wan Ying Tan | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Santosh D Vaghela | 32 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Jade Arielle Anderson | 34 Maple St Fl 3, Norwalk, CT 06850-3815 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
Philip William Gilbo | 32 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06850 |
City | NORWALK |
Zip Code | 06850 |
License Type | Resident Physician |
License Type + County | Resident Physician + NORWALK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Michael Berry | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-09-16 ~ 2019-09-22 |
Adam R Olson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
G & K Olson | 26 Reynolds Pl, Scarsdale, NY 10583 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
Mark Olson · Olson Development | 902 France St, Rocky Hill, CT 06067 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
Donald W Olson · D W Olson Construction Co | 22 Kayview Ave, Bethel, CT 06801 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
James D Olson · Olson & Son Carpentry | 908 1/2 State St, New Haven, CT 06511 | Home Improvement Contractor | 2001-01-16 ~ 2001-11-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Olson & Byxbee Inc | 199 West Avenue, Darien, CT 06820 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
Gil Olson · Gil Olson Multiple Services Inc | 5 Rocky Lane, Bethel, CT 06801 | Home Improvement Contractor | 1996-02-21 ~ 1996-11-30 |
David M Olson · Olson Pool Service | 38 Brewer Rd, E Hampton, CT 06424 | Home Improvement Contractor | ~ 1995-12-01 |
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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).