LAWRENCE C BRILLIANT
Physician/surgeon


Address: 12 Boulevard Dr, Danbury, CT 06810

LAWRENCE C BRILLIANT (Credential# 550563) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 17, 1994. The license expiration date date is August 31, 1995. The license status is INACTIVE.

Business Overview

LAWRENCE C BRILLIANT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032964. The credential type is physician/surgeon. The effective date is August 17, 1994. The expiration date is August 31, 1995. The business address is 12 Boulevard Dr, Danbury, CT 06810. The current status is inactive.

Basic Information

Licensee Name LAWRENCE C BRILLIANT
Credential ID 550563
Credential Number 1.032964
Credential Type Physician/Surgeon
Business Address 12 Boulevard Dr
Danbury
CT 06810
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-05-21
Effective Date 1994-08-17
Expiration Date 1995-08-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162833 CSP.0021011 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-06-09 - 1995-07-01 INACTIVE

Office Location

Street Address 12 BOULEVARD DR
City DANBURY
State CT
Zip Code 06810

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Competitor

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City DANBURY
Zip Code 06810
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DANBURY

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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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