DERRICK B BREMANG (Credential# 2020192) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DERRICK B BREMANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065849. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is June 30, 2021. The business address is Residency Program, Farmington, CT 06030. The current status is active.
| Licensee Name | DERRICK B BREMANG |
| Credential ID | 2020192 |
| Credential Number | 1.065849 |
| Credential Type | Physician/Surgeon |
| Business Address |
Residency Program Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424054 | CSP.0065374 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1488367 | 1.057762-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2020-06-30 | ACTIVE |
| Street Address | RESIDENCY PROGRAM |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Adrienne B Berke Md | Uconn Health Ctr Dermatology Mc-6230, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derrick Nitsche | 221 W 29th St # 12d, New York, NY 10001-5580 | Physician/surgeon | 2020-05-06 ~ 2021-03-31 |
| John Derrick Van Doren | 6771 Warner Ave #2556, Huntington Beach, CA 92647 | Physician/surgeon | ~ |
| Derrick A Hodges · Derrick Remodeling | 82 Plainfield St, Hartford, CT 06112 | Home Improvement Contractor | 2004-12-01 ~ 2005-05-20 |
| Derrick Munro · Derrick's New England Painting | 267 Branford Rd Apt 106, North Branford, CT 06471-1330 | Home Improvement Contractor | 2012-02-01 ~ 2012-11-30 |
| Derrick R Schull | 94 Old Coach Hwy, Hamden, CT 06518 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Derrick's Remodeling LLC | 82 Plainfield St, Hartford, CT 06112 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Derrick A Lam | 7 Arcadia Ln Unit# 3303, Shelton, CT 06484 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Koch Crane & Derrick Co. | 400 Roosevelt Ave, Carteret, NJ 07008 | Crane Registration | 1989-04-26 ~ 1990-04-25 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on DERRICK B BREMANG.
| 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).