BRIAN THOMAS TREZAK (Credential# 1633532) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRIAN THOMAS TREZAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070308. The credential type is controlled substance registration for practitioner. The effective date is April 9, 2019. The expiration date is February 28, 2021. The business address is 80 Mendums Landing Rd, Barrington, NH 03825-5016. The current status is active.
| Licensee Name | BRIAN THOMAS TREZAK |
| Credential ID | 1633532 |
| Credential Number | CSP.0070308 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Mendums Landing Rd Barrington NH 03825-5016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-09 |
| Effective Date | 2019-04-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1629600 | 1.062579 | Physician/Surgeon | 2019-04-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1646773 | CSP.0070619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 80 MENDUMS LANDING RD |
| City | BARRINGTON |
| State | NH |
| Zip Code | 03825-5016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen A Avallon | 82 Edgewater Drive, Barrington, NH 03825 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Sandra L Nevins | 62 Chrissy Circle, Barrington, NH 03825 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Gail E Dennison-korth | 8 Lenzi Point, Barrington, NH 03825 | Speech and Language Pathologist | 2004-04-30 ~ 2005-05-31 |
| Brenda A Piscatello | 15 Allen Farm Road, Barrington, NH 03825 | Hairdresser/cosmetician | 1992-12-22 ~ 1995-11-30 |
| Marilyn L Ellis | 147 Scruton Pond Rd, Barrington, NH 03825 | Licensed Practical Nurse | 1993-01-25 ~ 1994-02-28 |
| Nicole M Olivier | 254 Beauty Hill Road, Barrington, NH 03825 | Occupational Therapist | ~ 1999-07-31 |
| Joel E Stiefel | 326 Route 4 Apt #7, Barrington, NH 03825 | Plumbing & Piping Limited Contractor | 2006-11-24 ~ 2007-10-31 |
| Richard Moreau | Rfd 2 Rte 9, Barrington, NH 03825 | Electrical Unlimited Contractor | 1998-10-01 ~ 1999-09-30 |
| Thomas Stanley · R & D Paving | 454 Route 4, Barrington, NH 03825 | Home Improvement Contractor | ~ |
| Robin Cameron | 24 Hillside Dr, Barrington, NH 03825-3405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 03825 | |||
| City | BARRINGTON |
| Zip Code | 03825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BARRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian M Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian L Karasic | Po Box 819, Eatontown, NJ 07724-0819 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brian C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
| Brian J Solomon | 21 May Ct, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian T Fletcher Md | 497 3rd Ave Apt 9, New York, NY 10016-4854 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Moy | 24 Park Pl Apt 8h, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian B Whang | 550 Prospect St #15, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-10-04 ~ 2008-02-29 |
Please comment or provide details below to improve the information on BRIAN THOMAS TREZAK.
| 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).