RICHARD L BRENT MD (Credential# 541535) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 28, 1998. The license expiration date date is September 30, 1999. The license status is INACTIVE.
RICHARD L BRENT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015558. The credential type is physician/surgeon. The effective date is July 28, 1998. The expiration date is September 30, 1999. The business address is 29 Chesterfield Rd, East Lyme, CT 06333. The current status is inactive.
| Licensee Name | RICHARD L BRENT MD |
| Credential ID | 541535 |
| Credential Number | 1.015558 |
| Credential Type | Physician/Surgeon |
| Business Address |
29 Chesterfield Rd East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-05-18 |
| Effective Date | 1998-07-28 |
| Expiration Date | 1999-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152638 | CSP.0007950 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-04-10 - 1998-02-28 | INACTIVE |
| Street Address | 29 CHESTERFIELD RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| May Azar | 5 Brent Rd, Lexington, MA 02420-1823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Brent A Penque | 616 Tahmore Dr, Fairfield, CT 06825-2518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brent C. Packer | 120 State Ave Ne, Olympia, WA 98501 | Physician/surgeon | 2013-12-10 ~ 2014-05-31 |
| J Brent Pawlecki | 507 Surfside Dr, Akron, OH 44319-2746 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brent Schiffer | 107 Shavano Drive, San Antonio, TX 78231 | Physician/surgeon | 2003-02-11 ~ 2004-02-29 |
| Carl E Lane | 1123 Brent Road, Barnesville, GA 30204 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard Brent Mcghee | 314 Tindalls Ct, Suffolk, VA 23436 | Respiratory Care Practitioner | ~ |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
Please comment or provide details below to improve the information on RICHARD L BRENT MD.
| 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).