MARK A BREINER DDS (Credential# 700396) is licensed (Dentist) 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.
MARK A BREINER DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004359. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 501 Kings Hwy E Ste 108, Fairfield, CT 06825-4870. The current status is active.
Licensee Name | MARK A BREINER DDS |
Credential ID | 700396 |
Credential Number | 2.004359 |
Credential Type | Dentist |
Business Address |
501 Kings Hwy E Ste 108 Fairfield CT 06825-4870 |
Business Type | INDIVIDUAL |
Status | ACTIVE - PRIOR DISCIPLINE |
Active | 1 |
Issue Date | 1971-07-15 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152451 | CSP.0003678 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-12 - 2021-02-28 | ACTIVE |
Street Address | 501 KINGS HWY E STE 108 |
City | FAIRFIELD |
State | CT |
Zip Code | 06825-4870 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adam B Breiner | 501 Kings Hwy E Ste 108, Fairfield, CT 06825-4870 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
Platinum Senior Care LLC | 501 Kings Hwy E Ste 108, Fairfield, CT 06825-4870 | Homemaker Companion Agency | 2011-11-01 ~ 2012-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
Find all Licenses in zip 06825 |
City | FAIRFIELD |
Zip Code | 06825 |
License Type | Dentist |
License Type + County | Dentist + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lori E Breiner | 127 Kings Hwy N, Westport, CT 06880-2422 | Chiropractor | 2020-05-01 ~ 2021-04-30 |
David E Breiner | 262 Hubbard St, Glastonbury, CT 06033-3060 | Paramedic | 2010-08-19 ~ 2011-05-31 |
Adam B Breiner | 501 Kings Hwy E Ste 108, Fairfield, CT 06825-4870 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
Margaret Breiner · Ciriello | 70 Woodside Ct, Watertown, CT 06795-1151 | Barber | 2020-04-01 ~ 2022-03-31 |
Samuel G Breiner | 78 Summer St, Stratford, CT 06614-4746 | Pharmacy Intern | 2017-10-24 ~ 2021-09-30 |
Nila M Breiner | 56 Arrowhead Dr, Monroe, CT 06468 | Hairdresser/cosmetician | 2016-08-01 ~ 2018-07-31 |
Samuel Breiner | 56 Arrowhead Dr, Monroe, CT 06468-1067 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
Candis J Breiner | 56 Arrowhead Drive, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
Mark N Jacobson | Apt 13b, New York, NY 10025 | Dentist | 2016-01-01 ~ 2016-12-31 |
Lisa M Breiner · Blacker | 1985 West St Unit 35, Southington, CT 06489-6004 | Radiographer | 2020-06-01 ~ 2021-05-31 |
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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).