STEPHEN D BRENNER (Credential# 542377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
STEPHEN D BRENNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017408. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 166 Roydon Rd, New Haven, CT 06511-2859. The current status is active.
| Licensee Name | STEPHEN D BRENNER |
| Credential ID | 542377 |
| Credential Number | 1.017408 |
| Credential Type | Physician/Surgeon |
| Business Address |
166 Roydon Rd New Haven CT 06511-2859 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1975-07-15 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152635 | CSP.0003973 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 166 ROYDON RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2859 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terry Osmun | 120 Roydon Rd, New Haven, CT 06511-2859 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| Hamada Altalib | 150 Roydon Rd, New Haven, CT 06511-2859 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annette Magnant Brenner | One Hospital Plaze, Stamford, CT 06904 | Physician/surgeon | ~ |
| John R Brenner | 5815 Brenda Lane, San Antonio, TX 78240 | Physician/surgeon | ~ |
| Lionel W Fernando | 1601 Brenner Ave, Salisbury, NC 28144 | Physician/surgeon | ~ 1983-03-31 |
| Fred J Brenner | 175 East 96th St, New York, NY 10128 | Physician/surgeon | ~ 1994-09-30 |
| Steven H Brenner | 2001 Marcus Ave., Lake Sucess, NY 11042 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Kevin S Brenner · Brenner Builders Inc | 18 Ebenezer Ln, Pound Ridge, NY 10576-1308 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
| Brenner Builders Inc | 261 Washington Ave, New Rochelle, NY 10801 | Home Improvement Contractor | 1997-02-19 ~ 1997-11-30 |
| Stephen L Curry | Po Box 491, Litchfield, CT 06759 | Physician/surgeon | 2004-06-18 ~ 2005-08-31 |
| Stephen J Horgan | 26 Alton Ct Apt 2, Brookline, MA 02446-6535 | Physician/surgeon | ~ |
| Stephen Carragher | 410 Capitol Ave, Hartford, CT 06134 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on STEPHEN D BRENNER.
| 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).