BRENT PLEIMANN PA (Credential# 743161) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
BRENT PLEIMANN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001412. The credential type is physician assistant. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 89 Masters Ln, Milford, CT 06461-1690. The current status is inactive.
| Licensee Name | BRENT PLEIMANN PA |
| Credential ID | 743161 |
| Credential Number | 23.001412 |
| Credential Type | Physician Assistant |
| Business Address |
89 Masters Ln Milford CT 06461-1690 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-10-21 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2018-09-30 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 359796 | CSP.0034463 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 89 MASTERS LN |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-1690 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shawn A Burns Od | 55 Masters Ln, Milford, CT 06461-1690 | Optometrist | 2020-05-01 ~ 2021-04-30 |
| Helen Ambizas Od | 55 Masters Ln, Milford, CT 06461-1690 | Optometrist | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bleixen Carolina Andrade | 18 Grassy Lane, Milford, CT 06461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lesley A Zinsky | 63 Westwood Road, Milford, CT 06461 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Melanie A Maguire | 132 Cornfield Rd, Milford, CT 06461 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Audrey J Seigle | 304 Foxwood Lane, Milford, CT 06461 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ariana M Acquarulo | 663 West Ave #22, Milford, CT 06461 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Ronald D'aurelio | 69 Sassacus Drive, Milford, CT 06461 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kellie Catherine Doris Balfe | 71 Orange Ave, Milford, CT 06461 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Donna J Iaffaldano · Shamatovich | 45 Yankee Hollow Road, Milford, CT 06461 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kaitlynn Stevens | 27 Munson Street, Milford, CT 06461 | Registered Nurse | ~ |
| Scott S Lucas | 59 Undine Street, Milford, CT 06461 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06461 | |||
| City | MILFORD |
| Zip Code | 06461 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent A Albright | 41 Tuttle Rd, Middletown, CT 06457-1827 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
| Brent M Reilly Pa-c | 1796 Stone Ave, East Meadow, NY 11554-1007 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Brent Michael Selders | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jennifer L Pleimann Pa | 2876 Main St, Stratford, CT 06614-4984 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua Pescosolido | 96 Brent Drive, Vernon, CT 06066 | Family Child Care Assistant | 2005-07-07 ~ 2007-07-31 |
| May Azar | 5 Brent Rd, Lexington, MA 02420-1823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| J Brent Pawlecki | 507 Surfside Dr, Akron, OH 44319-2746 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brent A Penque | 616 Tahmore Dr, Fairfield, CT 06825-2518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on BRENT PLEIMANN PA.
| 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).