GLEN KAISER MD (Credential# 547751) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
GLEN KAISER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029385. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 6 Gettysburg Rd, Southbury, CT 06488-3023. The current status is active.
| Licensee Name | GLEN KAISER MD |
| Credential ID | 547751 |
| Credential Number | 1.029385 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Gettysburg Rd Southbury CT 06488-3023 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-08-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157130 | CSP.0016658 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 6 GETTYSBURG RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-3023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alyza J Barbieri | 8 Gettysburg Rd, Southbury, CT 06488-3023 | Emergency Medical Technician | 2018-09-24 ~ 2021-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charlene Kaiser | 97 Highfield Rd, Wilton, CT 06897 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
| Alina Filozov Do | 17 Kaiser Ln, Madison, CT 06443-2499 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Anthony John Kaiser | 36 Hawthorne Pl, Montclair, NJ 07042-3229 | Physician/surgeon | 1974-06-18 ~ 1984-11-30 |
| Kaiser Sultana | 95 Grasslands Road, Valhalla, NY 10595 | Physician/surgeon | 2007-12-03 ~ 2008-12-31 |
| Richard Kaiser Md | 9 Benedict Place, Greenwich, CT 06830 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Sameer Kaiser | 3 Louis Allan Dr, Danbury, CT 06811 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Douglas Jordan Grunwald | 19 Kaiser Lane, Madison, CT 06443 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lucia S Whie-grayson | Kaiser Permanente, Downey, CA 90241 | Physician/surgeon | 1999-11-12 ~ 2001-01-31 |
| Talal Aziz Kaiser | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2018-11-01 ~ 2019-11-30 |
| Hans Ulrich Bueff | Orthopedics - Kaiser, Roseville, CA 95661 | Physician/surgeon | 2005-02-17 ~ 2006-03-31 |
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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).