BRETT J GERSTENHABER (Credential# 542536) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRETT J GERSTENHABER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017778. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2080 Whitney Ave Ste 210, Hamden, CT 06518-3603. The current status is active.
Licensee Name | BRETT J GERSTENHABER |
Credential ID | 542536 |
Credential Number | 1.017778 |
Credential Type | Physician/Surgeon |
Business Address |
2080 Whitney Ave Ste 210 Hamden CT 06518-3603 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1976-05-24 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152497 | CSP.0005229 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
167603 | CSP.0023988 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE | |
114352 | CSP.0025109 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-09-25 - 1998-02-28 | INACTIVE |
Street Address | 2080 WHITNEY AVE STE 210 |
City | HAMDEN |
State | CT |
Zip Code | 06518-3603 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
North East Alliance Surgery Center | 2080 Whitney Ave Ste 100, Hamden, CT 06518-3603 | Out-patient Surgical Facility | 2019-04-17 ~ 2021-03-31 |
Smilow Cancer Hospital | 2080 Whitney Ave Ste 240, Hamden, CT 06518-3603 | Controlled Substance Registration for Hospitals | 2015-03-01 ~ 2017-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Find all Licenses in zip 06518 |
City | HAMDEN |
Zip Code | 06518 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brett L Arron | RI | Physician/surgeon | ~ |
Brett Citarella Md | 11 Overlook Dr, Old Saybrook, CT 06475 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Brett T Grobman | 3600 Regal Dr, Altus, OK 73521-5025 | Physician/surgeon | ~ |
Giacomo Messore | 18 Brett Cliff Rd, Milford, CT 06460 | Physician/surgeon | 1996-03-29 ~ 1997-01-31 |
Brett Hunter Duncan Md | 100 Retreat Ave Ste 811, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Brett Thomas Snodgrass | 7559 Hazelcrest Dr Apt G, Hazelwood, MO 63042-2275 | Physician/surgeon | ~ |
Brett A Carroll | 31 Elizabeth Street, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
James T Keegan | 33 Brett Cliff Rd, Milford, CT 06460 | Physician/surgeon | 1992-12-22 ~ 1993-11-30 |
Brett A King | 763 Eleven O'clock Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brett Lawrence Arron | 52 Lake St, Wakefield, RI 02879-4116 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).