DANIEL F O'BRIEN (Credential# 1488720) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DANIEL F O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058115-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 8 Enclave Court, Medford, NJ 08055. The current status is active.
| Licensee Name | DANIEL F O'BRIEN |
| Credential ID | 1488720 |
| Credential Number | 1.058115-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
8 Enclave Court Medford NJ 08055 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1352755 | CSP.0062705 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 8 ENCLAVE COURT |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Amy Prescott-coraggio | 15 Wellesley Way, Medford, NJ 08055 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Selene K Bantz | 320 Jackson Road, Medford, NJ 08055 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sung K Ro | 9 Somerton Square, Medford, NJ 08055 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| William J Porter · Allstate Conveyor Service Inc | 40 S. Lakeside Dr. W., Medford, NJ 08055 | Elevator Limited Conveyor Contractor | 2019-09-01 ~ 2020-08-31 |
| Lina Marcela Velez | 2 Dakota Trail, Medford, NJ 08055 | Registered Nurse - Temporary | 2016-08-29 ~ 2016-12-26 |
| James P Scott | 36 Cranberry Ct, Medford, NJ 08055 | Professional Engineer | 1993-01-25 ~ 1994-01-31 |
| Bryan H Atkinson | 1 Eden Circle Rd, Medford, NJ 08055 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Mary F Etter | 15 Elderberry Drive, Medford, NJ 08055 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Stephen E Pilch | 92 Manhasset Trail, Medford Lakes, NJ 08055 | Radiographer | 2013-05-01 ~ 2014-04-30 |
| Patricia A Gregg | 104 Pine Valley Dr, Medford, NJ 08055 | Registered Nurse | 2013-03-01 ~ 2014-02-28 |
| Find all Licenses in zip 08055 | |||
| City | MEDFORD |
| Zip Code | 08055 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MEDFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew P O'brien | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Daniel Edward O'brien · O'brien Ceramic Tile | 277 Tater Hill Rd, East Haddam, CT 06423-1606 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Daniel Le Bui | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel A Strauchler | 500 W 235th St Apt 1m, Bronx, NY 10463-1835 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Daniel R Dickstein | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Daniel Haddad | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel W Condit | 45 Rockledge Dr, Avon, CT 06001-2415 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Daniel Gomez | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Daniel De Gala | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
| Daniel X Yang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 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).