BRETT T GROBMAN (Credential# 2041955) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
BRETT T GROBMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1-DO. The credential type is physician/surgeon. The business address is 3600 Regal Dr, Altus, OK 73521-5025. The current status is pending.
Licensee Name | BRETT T GROBMAN |
Credential ID | 2041955 |
Credential Number | 1-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
3600 Regal Dr Altus OK 73521-5025 |
Business Type | INDIVIDUAL |
Status | PENDING - PENDING |
Refresh Date | 2020-05-04 |
Street Address | 3600 REGAL DR |
City | ALTUS |
State | OK |
Zip Code | 73521-5025 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aileen Carbone | 936 Asa Lee, Altus, OK 73521 | Licensed Practical Nurse | 2007-11-08 ~ 2008-10-31 |
Jeffrey C Lukas | 3520 Kings Way, Altus, OK 73521 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
Charles F Roe | 201 S Park Lane, Altus, OK 73521 | Physician/surgeon | 1981-01-01 ~ 1987-02-17 |
City | ALTUS |
Zip Code | 73521 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ALTUS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brett L Arron | RI | Physician/surgeon | ~ |
Brett Citarella Md | 11 Overlook Dr, Old Saybrook, CT 06475 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Brett A King | 763 Eleven O'clock Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brett Thomas Snodgrass | 7559 Hazelcrest Dr Apt G, Hazelwood, MO 63042-2275 | Physician/surgeon | ~ |
James T Keegan | 33 Brett Cliff Rd, Milford, CT 06460 | Physician/surgeon | 1992-12-22 ~ 1993-11-30 |
Brett Lawrence Arron | 52 Lake St, Wakefield, RI 02879-4116 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Giacomo Messore | 18 Brett Cliff Rd, Milford, CT 06460 | Physician/surgeon | 1996-03-29 ~ 1997-01-31 |
Brett A Carroll | 31 Elizabeth Street, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Brett Hunter Duncan Md | 100 Retreat Ave Ste 811, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Brett J Gerstenhaber | 2080 Whitney Ave Ste 210, Hamden, CT 06518-3603 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).