CARL H BRAREN
Physician/surgeon


Address: 463 Wolcott Hill Road, Wethersfield, CT 06109-2134

CARL H BRAREN (Credential# 540820) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.

Business Overview

CARL H BRAREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013682. The credential type is physician/surgeon. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 463 Wolcott Hill Road, Wethersfield, CT 06109-2134. The current status is inactive.

Basic Information

Licensee Name CARL H BRAREN
Credential ID 540820
Credential Number 1.013682
Credential Type Physician/Surgeon
Business Address 463 Wolcott Hill Road
Wethersfield
CT 06109-2134
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-11-26
Effective Date 2013-08-01
Expiration Date 2014-07-31
Refresh Date 2014-11-03

Other licenses

ID Credential Code Credential Type Issue Term Status
152438 CSP.0004037 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 463 Wolcott Hill Road
City WETHERSFIELD
State CT
Zip Code 06109-2134

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Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WETHERSFIELD

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Dataset Information

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).

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