REBECCA S BRIENZA MD (Credential# 555644) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
REBECCA S BRIENZA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038054. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 45 Gray Rock Road, Southport, CT 06890. The current status is active.
Licensee Name | REBECCA S BRIENZA MD |
Credential ID | 555644 |
Credential Number | 1.038054 |
Credential Type | Physician/Surgeon |
Business Address |
45 Gray Rock Road Southport CT 06890 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-08-13 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
217099 | CSP.0028527 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-08-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 45 GRAY ROCK ROAD |
City | SOUTHPORT |
State | CT |
Zip Code | 06890 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06890 |
City | SOUTHPORT |
Zip Code | 06890 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Isabelle V Brienza Cpa | 49 Ashton Circle, Simsbury, CT 06070 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Brienza's Educare Inc. | 1762 Benson Avenue, Brooklyn, NY 11214 | Public Charity | 2009-01-12 ~ 2009-05-31 |
Toni L Brienza | 2 Mamacock Rd, Niantic, CT 06357-2117 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
Rebecca L. Manning | Po Box 365, Youngsville, NC 27596 | Physician/surgeon | 2009-07-16 ~ 2009-09-30 |
Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
Rebecca M. Wahl | 85 Island Ave, Madison, CT 06443-3030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Rebecca Sahlman | 230 Stratford Ave, Westmont, NJ 08108 | Physician/surgeon | 2019-09-30 ~ 2020-05-31 |
Rebecca K Chaffee | 341 E28th St, Erie, PA 16504 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
Rebecca J Ondrus | 125 Providence St, West Warwick, RI 02893-2500 | Physician/surgeon | ~ |
Rebecca L Warkol Md | 8 West End Ave, Old Greenwich, CT 06870 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).