BROGAN GREGORY EVANS (Credential# 1657121) is licensed (Resident Physician) 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.
BROGAN GREGORY EVANS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063058-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 651 Prospect St Apt 1l, New Haven, CT 06511-2003. The current status is active.
| Licensee Name | BROGAN GREGORY EVANS |
| Credential ID | 1657121 |
| Credential Number | 1.063058-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
651 Prospect St Apt 1l New Haven CT 06511-2003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1662613 | CSP.0071210 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-28 | 2019-05-28 - 2021-02-28 | ACTIVE |
| Street Address | 651 PROSPECT ST APT 1L |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy Mark Steele | 651 Prospect St Apt 3, New Haven, CT 06511-2003 | Controlled Substance Registration for Practitioner | 2019-07-23 ~ 2021-02-28 |
| David Grodberg | 77 Edgehill Road, New Haven, CT 06511-2003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| St Francis Home for Children | 651 Prospect St, New Haven, CT 06511-2003 | Public Charity | 2011-12-01 ~ 2012-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Brogan | 20 York Street, New Haven, CT 06510 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Gregory F Evans | 5995 Opus Parkway, Suite 200, Minneapolis, MN 55343 | Physician/surgeon | 2007-06-29 ~ 2008-08-31 |
| Gregory M Ricketts | 81 Rosemount Ave Apt 2, Waterbury, CT 06708-3615 | Resident Physician | 2014-06-28 ~ 2020-06-27 |
| Gregory D Fliney | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin R Brogan | 56 Brogan Rd, Gardner, MA 01440-1656 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Gregory Michael Olsen | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gregory Kanski | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-08-01 ~ 2021-07-31 |
| Robert Evans Jr · Bob Evans Jr Construction | 40 Evans Lane, Hope Valley, RI 02832 | Home Improvement Contractor | 1997-02-21 ~ 1997-11-30 |
| Brogan's Irish Cream | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-05-27 ~ 2012-05-25 |
| Gregory D Evans | 7 School Street, Westerly, RI 02891 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Please comment or provide details below to improve the information on BROGAN GREGORY EVANS.
| 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).