BRIAN D BAXT (Credential# 554602) 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 D BAXT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037012. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 83 Valley Stream Lane, Southbury, CT 06488-4681. The current status is active.
| Licensee Name | BRIAN D BAXT |
| Credential ID | 554602 |
| Credential Number | 1.037012 |
| Credential Type | Physician/Surgeon |
| Business Address |
83 Valley Stream Lane Southbury CT 06488-4681 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1998-07-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160365 | CSP.0027243 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-01-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 369232 | CSP.0034865 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 83 VALLEY STREAM LANE |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-4681 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Baat | 83 Valley Stream Lane, Southbury, CT 06488 | Honey Bee Registration | 2016-01-01 ~ 2017-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Leo | 129 Valley Stream Ln, Southbury, CT 06488-4681 | Notary Public Appointment | 2019-11-26 ~ 2024-11-30 |
| Brian Baxt | 83 Valley Stream Ln, Southbury, CT 06488-4681 | Honey Bee Registration | 2019-10-01 ~ 2020-09-30 |
| 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 |
|---|---|---|---|
| Robert S Baxt | 9 Timber Run Court, Reisterstown, MD 21136 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian Baxt | 83 Valley Stream Ln, Southbury, CT 06488-4681 | Honey Bee Registration | 2019-10-01 ~ 2020-09-30 |
| Brian B. Koo | 575 Lambert Rd, Orange, CT 06477-2403 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian W King | Po Box 23, Willimantic, CT 06226-0023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian J Rosenthal | Po Box 839, New Milford, CT 06776 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Brian A. Lipari | Po Box 87, Islip, NY 11751-0087 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| Brian A Crum | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian M Keegan | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Brian D. Nowak | 8 Indian Well Ct, Huntington, NY 11743-5726 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BRIAN D BAXT.
| 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).