PAUL R BRUCH (Credential# 539451) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.
PAUL R BRUCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009482. The credential type is physician/surgeon. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 553 Jeremy Swamp Rd, Southbury, CT 06488. The current status is inactive.
| Licensee Name | PAUL R BRUCH |
| Credential ID | 539451 |
| Credential Number | 1.009482 |
| Credential Type | Physician/Surgeon |
| Business Address |
553 Jeremy Swamp Rd Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1959-06-30 |
| Effective Date | 2010-09-01 |
| Expiration Date | 2011-08-31 |
| Refresh Date | 2011-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153381 | CSP.0003449 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 553 JEREMY SWAMP RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristeena L Mcdonough | 553 Jeremy Swamp Rd, Southbury, CT 06488-2736 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bruch Jr | 215 White Ave, Middlebury, CT 06762 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Gwendolyn J Bruch Pa | 2040 Valencia Way, Clearwater, FL 33764 | Physician Assistant | 2007-06-04 ~ 2008-07-31 |
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
| L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
| Paul B Thompson Do | 260 Fifth Ave Apt #10-n, New York, NY 10001 | Physician/surgeon | 2006-03-20 ~ 2007-03-31 |
| Paul F Nee Md | 33 Germantown Rd Ste 2, Danbury, CT 06810-5039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul L Dalbec Md | Po Box 797, Brooklyn, CT 06234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul N Graffagnino | P.o. Box 443, Woodstock, VT 05091-4443 | Physician/surgeon | 1996-02-23 ~ 1997-04-30 |
Please comment or provide details below to improve the information on PAUL R BRUCH.
| 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).