GLEN Z BROOKS
Physician/surgeon


Address: 80 Harbor Acres Rd, Sands Point, NY 11050-2627

GLEN Z BROOKS (Credential# 543736) 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.

Business Overview

GLEN Z BROOKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021570. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 80 Harbor Acres Rd, Sands Point, NY 11050-2627. The current status is active.

Basic Information

Licensee Name GLEN Z BROOKS
Credential ID 543736
Credential Number 1.021570
Credential Type Physician/Surgeon
Business Address 80 Harbor Acres Rd
Sands Point
NY 11050-2627
Business Type INDIVIDUAL
Status ACTIVE - PRIOR DISCIPLINE
Active 1
Issue Date 1979-07-24
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-08-25

Office Location

Street Address 80 HARBOR ACRES RD
City SANDS POINT
State NY
Zip Code 11050-2627

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Dennis Yap 11 Maple Dr, Port Washington, NY 11050 Professional Engineer 2020-02-01 ~ 2021-01-31
Jonathan C Hurt 22 Andover Rd, Port Washington, NY 11050 Professional Engineer 2020-02-01 ~ 2021-01-31
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Mitchell G. Schuckman 5 The Spur, Port Washington, NY 11050 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Robert H Glasser 14 Soundview Lane, Sands Point, NY 11050 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
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Competitor

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City SANDS POINT
Zip Code 11050
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SANDS POINT

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Bruce Greenstein Rye Brooks Plaza, Rye Brook, NY 10573 Physician/surgeon 1996-04-17 ~ 1997-03-31
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Jeanne Q Brooks · Tan Shoreline Eye Group, P.C., Waterford, CT 06385 Physician/surgeon 2008-05-01 ~ 2009-06-30
Brooks J Poley 15 Mulberry Road, Bluffton, SC 29910 Physician/surgeon 1964-07-21 ~ 1965-12-31
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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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