BRIAN R MCGOVERN (Credential# 552121) 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.
BRIAN R MCGOVERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034525. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 32 Charter Oak Drive, Wilton, CT 06897. The current status is active.
| Licensee Name | BRIAN R MCGOVERN |
| Credential ID | 552121 |
| Credential Number | 1.034525 |
| Credential Type | Physician/Surgeon |
| Business Address |
32 Charter Oak Drive Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-06-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161117 | CSP.0023291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 32 CHARTER OAK DRIVE |
| City | Wilton |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | Wilton |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wilton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine A. Mcgovern | 170 Maple Ave, White Plains, NY 10601-4710 | Physician/surgeon | ~ |
| Patrick M Mcgovern · Mcgovern Contracting | C-6 St Marc Circle, South Windsor, CT 06074 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| J Brian Mcgovern | 23 Finchwood Dr, Trumbull, CT 06611 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Brian Patrick Mcgovern | 58 Dolphin St, Jamestown, RI 02835-2439 | Behavior Analyst | 2019-04-01 ~ 2020-03-31 |
| John Mcgovern · John Mcgovern Carpentry | 21 Idlewood Pl, Stamford, CT 06905 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Brian T Mcgovern | 157 Leeder Hill Dr Apt 708, Hamden, CT 06517-2767 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Harriet M Mcgovern · Mcgovern Doll | 10301 N. Kings Hwy, Myrtle Beach, SC 29572 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
| Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
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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).