DAVID M BROTHERS (Credential# 541513) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
DAVID M BROTHERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015509. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 180 Woody Ln, Fairfield, CT 06825-2038. The current status is active.
Licensee Name | DAVID M BROTHERS |
Credential ID | 541513 |
Credential Number | 1.015509 |
Credential Type | Physician/Surgeon |
Business Address |
180 Woody Ln Fairfield CT 06825-2038 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1972-05-08 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152875 | CSP.0004350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-04-15 - 2021-02-28 | ACTIVE |
Street Address | 180 WOODY LN |
City | FAIRFIELD |
State | CT |
Zip Code | 06825-2038 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Janet M Brothers | 180 Woody Ln, Fairfield, CT 06825-2038 | Controlled Substance Registration for Practitioner | 2019-04-15 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ian G Markowitz | 164 Woody Ln, Fairfield, CT 06825-2038 | Controlled Substance Registration for Practitioner | 2019-10-24 ~ 2021-02-28 |
William Markowitz | 164 Woody Ln, Fairfield, CT 06825-2038 | Pharmacist | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
Find all Licenses in zip 06825 |
City | FAIRFIELD |
Zip Code | 06825 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward Kelmenson | 142 Brothers Ct, Port Matilda, PA 16870-7134 | Physician/surgeon | 2004-11-18 ~ 2005-04-30 |
Lindsay Eminger | 31 Roche Brothers Way Ste 200, North Easton, MA 02356-1032 | Physician/surgeon | 2015-03-11 ~ 2015-10-31 |
Leslie Mcdougall | 176 Brothers Court, Port Matilda, PA 16870 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Daniel Cruser | Vassar Brothers Medical Center, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
David J Bub · Bub Brothers Drywall | 97 Copper Hill Road, East Granby, CT 06026 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
A J Brothers LLC · Aj Brothers | 1707 Stanley St, New Britain, CT 06053-2021 | Operator of Weighing & Measuring Devices | 2013-09-17 ~ 2014-07-31 |
Ackman Brothers & Singer · Lawrence David Ackman | 110 East 42nd St, New York, NY 10017 | Real Estate Broker | 1996-06-01 ~ 1997-05-31 |
Anderson Brothers Gulf · David Anderson | 770 Main Street, Manchester, CT 06040 | Operator of Weighing & Measuring Devices | 2005-08-01 ~ 2006-07-31 |
David D Giardina | 10 Little Fox La, Westport, CT 06880 | Physician/surgeon | 2004-07-06 ~ 2005-07-31 |
David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
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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).