BRIAN D SANDRIDGE
Physician/surgeon


Address: 31 Hildurcrest Drive, Simsbury, CT 06070

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 31 Hildurcrest Drive
City Simsbury
State CT
Zip Code 06070

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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
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Competitor

Search similar business entities

City Simsbury
Zip Code 06070
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Simsbury

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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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