JOHN DENNIS BRODERICK (Credential# 1458306) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
JOHN DENNIS BRODERICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060394. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 7755 Center Ave, Huntington Beach, CA 92647. The current status is active.
Licensee Name | JOHN DENNIS BRODERICK |
Credential ID | 1458306 |
Credential Number | 1.060394 |
Credential Type | Physician/Surgeon |
Business Address |
7755 Center Ave Huntington Beach CA 92647 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-04-20 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-11-19 |
Street Address | 7755 Center Ave |
City | Huntington Beach |
State | CA |
Zip Code | 92647 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela Cori Sullivan | 7755 Center Ave, Huntington Beach, CA 92647 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael Huy Le | 7755 Center Ave, Huntington Beach, CA 92647 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Christine Marie Schonour | 7755 Center Ave, Huntington Beach, CA 92647 | Registered Nurse | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bear Down Brands, LLC | 14505 Astronautics Lane, Huntington Beach, CA 92647 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
John Derrick Van Doren | 6771 Warner Ave #2556, Huntington Beach, CA 92647 | Physician/surgeon | ~ |
Michelle M Monatt | Po Box 1883 Warner Ave., Huntington Beach, CT 92647 | Massage Therapist | 2010-06-01 ~ 2012-05-31 |
Cindy G Clark | 6522 Bishop Drive, Huntington Beach, CA 92647 | Dental Hygienist | 1994-09-20 ~ 1995-09-30 |
Jeanne M Dutton | 15555 Huntington Vl, Huntington Bch, CA 92647 | Licensed Practical Nurse | 1993-08-25 ~ 1994-07-31 |
Carmella Wawack | 17322 Margarita Lane, Huntington Beach, CA 92647 | Licensed Practical Nurse | 2003-06-12 ~ 2004-07-31 |
Shannon P Bowley | 205 15th St #1, Huntington Beach, CA 92647 | Provisional Real Estate Appraiser | 2005-07-07 ~ 2006-04-30 |
Ronald I Ogawa | 6151 Point Loma Dr, Huntington Bch, CA 92647 | Professional Engineer | 1995-01-23 ~ 1996-01-31 |
Carol Henderson Roeder | 7755 Center Ave Ste 630, Huntington Beach, CA 92647 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Wycliff Bible Translators Inc. | Po Box 2727, Huntington Beach, CA 92647 | Public Charity-exempt From Financial Requirements | ~ |
Find all Licenses in zip 92647 |
City | Huntington Beach |
Zip Code | 92647 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Huntington Beach |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Elisabeth C Broderick Md | 950 Massachusetts Ave 1a, Cambridge, MA 02139 | Physician/surgeon | 2004-01-20 ~ 2005-02-28 |
Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
Patrick Broderick | 67 Rocky Hill Rd, New Fairfield, CT 06812-2709 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patrick A Broderick | Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
Dennis P Broderick | 430 Boston Post Rd, Milford, CT 06460-2530 | Controlled Substance Laboratory | 2019-10-30 ~ 2020-01-31 |
Dennis S. Hsieh | Newtown, PA 18940 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
Dennis Zoda | 19 Schermerhorn St, Brooklyn, NY 11201-4802 | Physician/surgeon | ~ |
Dennis S Mao | 47 Oxford Dr, Suffern, NY 10901-3955 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Dennis F Gross | 900 5th Ave, New York, NY 10021-4157 | Physician/surgeon | 2002-02-13 ~ 2014-05-31 |
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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).