BRIAN D SANDRIDGE (Credential# 550534) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
BRIAN D SANDRIDGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032935. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 31 Hildurcrest Drive, Simsbury, CT 06070. The current status is active.
Licensee Name | BRIAN D SANDRIDGE |
Credential ID | 550534 |
Credential Number | 1.032935 |
Credential Type | Physician/Surgeon |
Business Address |
31 Hildurcrest Drive Simsbury CT 06070 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-05-07 |
Effective Date | 2019-04-01 |
Expiration Date | 2020-03-31 |
Refresh Date | 2020-01-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
333038 | CSP.0033201 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE | |
47436 | CSP.0025124 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE | |
162601 | CSP.0020957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-05-21 - 1995-02-01 | INACTIVE |
Street Address | 31 Hildurcrest Drive |
City | Simsbury |
State | CT |
Zip Code | 06070 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | Simsbury |
Zip Code | 06070 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Simsbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Brian M Keegan | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Brian B. Koo | 575 Lambert Rd, Orange, CT 06477-2403 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brian W King | Po Box 23, Willimantic, CT 06226-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
Brian R Tevlin | 224 Madison Pl, Shrewsbury, MA 01545-4287 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Brian Mirante | 6 Carol Dr, Ivoryton, CT 06442-1278 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Brian E Michael | 34 Dale Rd, Avon, CT 06001 | Physician/surgeon | 2003-05-12 ~ 2004-06-30 |
Please comment or provide details below to improve the information on BRIAN D SANDRIDGE.
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).