LARRY B BROISMAN (Credential# 152686) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LARRY B BROISMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009549. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 300 Kensington Ave, New Britain, CT 06051-3916. The current status is active.
Licensee Name | LARRY B BROISMAN |
Credential ID | 152686 |
Credential Number | CSP.0009549 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
300 Kensington Ave New Britain CT 06051-3916 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
543978 | 1.022071 | Physician/Surgeon | 1980-05-14 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 300 KENSINGTON AVE |
City | NEW BRITAIN |
State | CT |
Zip Code | 06051-3916 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Duojia Shen | 300 Kensington Ave, New Britain, CT 06051-3916 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Priya P Roy Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kevin W Watson | 300 Kensington Ave, New Britain, CT 06051-3916 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Barry J Kemler | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Neil H Wasserman | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Alexander Komm | 300 Kensington Ave, New Britain, CT 06051-3916 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
James M O'hara Jr | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Marc P Ramirez Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael S Honor | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Courtney Lynne Souza | 300 Kensington Ave, New Britain, CT 06051-3916 | Controlled Substance Registration for Practitioner | 2020-01-23 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Evelyne D.a. Sousa | 300 Kensington Ave Door 5, New Britain, CT 06051-3916 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jashualiz Bonilla | 353 Stanley St, New Britain, CT 06051 | Medication Administration Certification | ~ |
Natalena Francesca Fantozzi | 66 Walsh Street, New Britain, CT 06051 | Master's Level Social Worker | 2019-01-17 ~ 2019-06-30 |
Susan Okoro | 127 Landers Avenue, New Britain, CT 06051 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
Arcola Renee Bowden | 62 Woodland Street, New Britain, CT 06051 | Master's Level Social Worker | ~ |
Shasterin Valentin | 37 Chapman St, New Britain, CT 06051 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Farmington Donuts LLC · Dunkin Donuts | 1537 Stanley St, New Britain, CT 06051 | Bakery | 2020-07-01 ~ 2021-06-30 |
Nigel S Rodney | 230 Pleasant Street, New Britain, CT 06051 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Romas Restaurant | 382 Allen St, New Britain, CT 06051 | Bakery | 2020-07-01 ~ 2021-06-30 |
Nataljia Liberacki | 93 Clinic Dr., New Britain, CT 06051 | Medication Administration Certification | 2020-07-01 ~ 2022-06-30 |
Tiffany Mj Williams | 416 Park St, Apt #3, New Britain, CT 06051 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06051 |
City | NEW BRITAIN |
Zip Code | 06051 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Larry Joe Maturani | P.o. Box 564, Clarion, PA 16214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry Deutsch Md, Mph | 35 Torwood St, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry S Wasser | 31 Old Route 7 Ste 1a, Brookfield, CT 06804-1714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry B Mabry | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Larry Moy Md | 44 Sarles Lane, Pleasantville, NY 10570 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry N Scherzer | 282 Washington Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry U Ozowara | 200 East 72nd St Apt 3f, New York, NY 10021 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Larry E Novik | 325 Reef Road Ste #203, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry Roberts | 10 South Main #1504, Memphis, TN 38103 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Larry Edwards | 1410 Mill Plain Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1993-07-08 ~ 1995-08-01 |
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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).