CRYSTAL BROUSSARD (Credential# 1683917) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 26, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
CRYSTAL BROUSSARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064601. The credential type is physician/surgeon. The effective date is November 26, 2019. The expiration date is October 31, 2020. The business address is 27502 Blue Cedar Ln., Spring, TX 77386. The current status is active.
| Licensee Name | CRYSTAL BROUSSARD |
| Credential ID | 1683917 |
| Credential Number | 1.064601 |
| Credential Type | Physician/Surgeon |
| Business Address |
27502 Blue Cedar Ln. Spring TX 77386 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-26 |
| Effective Date | 2019-11-26 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-26 |
| Street Address | 27502 Blue Cedar Ln. |
| City | Spring |
| State | TX |
| Zip Code | 77386 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan David Carson | 29807 Sunwillow Creek Dr, Spring, TX 77386 | Registered Nurse | 2020-06-01 ~ 2021-06-30 |
| Genesis Gaming Solutions, Inc. | 25003 Pitkin Rd., Suite C100, Spring, TX 77386 | Gaming Services Provider | 2019-10-03 ~ 2019-10-31 |
| Jennifer Diane Wright | 1707 Caraquet Dr, Spring, TX 77386 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Rebecca Walters | 2711 Legends Ranch Drive, Spring, TX 77386 | Registered Nurse | ~ |
| Amandibuogu U Ogbunuju | 2347 Village Leaf Drive, Spring, TX 77386 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rui Liang | 2719 Angela Way Dr., Spring, TX 77386 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Troy C Ledet | 28225 Briarwood Pass, Spring, TX 77386 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marc D. Rosenberg | 3615 Andree Forest Ct, Spring, TX 77386 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Martha Madeline Harrington | 230 Basswood Dr, Spring, TX 77386 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jeff M Knight | 2410 July Sky Ct, Spring, TX 77386 | Crane Operator | ~ |
| Find all Licenses in zip 77386 | |||
| City | Spring |
| Zip Code | 77386 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Spring |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Vijayasekhara R Kalakata | 690 Ne 3rd Ave, Crystal River, FL 34428 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
| Sandra L Aponte | 69 Crystal Ave, Staten Island, NY 10302-2516 | Physician/surgeon | ~ |
| Louis G Petcu Md | 75 Crystal Run Rd, Middletown, NY 10941-7000 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Robert G Schwartz | 18 Crystal Springs Dr, Tolland, CT 06084-2029 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Maria C Albano | 124 Mississippi Ave, Crystal City, MO 63019 | Physician/surgeon | 2000-05-01 ~ 2001-03-31 |
| Crystal L Clark | 1280 Asylum Ave Apt 4d, Hartford, CT 06105-2289 | Physician/surgeon | 2003-06-02 ~ 2004-02-29 |
| Stefan G Chevalier | 75 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Grace M Wesolow | 210 W Crystal Lake, Haddonfield, NJ 08033 | Physician/surgeon | 1997-07-02 ~ 1998-07-31 |
| Kajalben N Nadpara | 155 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
Please comment or provide details below to improve the information on CRYSTAL BROUSSARD.
| 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).