BRANDON D MADRIS (Credential# 1491293) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2023. The license status is ACTIVE.
BRANDON D MADRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059190-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2023. The business address is 110 Towne St, Stamford, CT 06902-5993. The current status is active.
| Licensee Name | BRANDON D MADRIS |
| Credential ID | 1491293 |
| Credential Number | 1.059190-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
110 Towne St Stamford CT 06902-5993 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2018-09-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1438567 | CSP.0066330 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 110 TOWNE ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-5993 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alec M Fouche | 110 Towne St, Stamford, CT 06902 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Elizabeth Takash | 110 Towne St, Stamford, CT 06902 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Robert Monegro | 110 Towne St, Stamford, CT 06902-5993 | Real Estate Salesperson | 2019-07-31 ~ 2020-05-31 |
| Thomas J Laporta · Thomas Laporta Gen Contracting | 110 Towne St, Stamford, CT 06902 | Home Improvement Contractor | 2017-06-13 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Roger S Madris | 90 South Ridge St, Rye Brook, NY 10573-2828 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michal Senitko | 404 Bedford Pl, Brandon, MS 39047-4532 | Resident Physician | 2015-06-24 ~ 2021-06-30 |
| Brandon Hayse | 111 Park St Apt 5f, New Haven, CT 06511-5452 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brandon Yarns | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-07-08 ~ 2020-06-30 |
| Brandon Mckanna | 40 Prospect Ave. Bldg. 1-3l, Norwalk, CT 06850 | Resident Physician Assistant | 2019-09-09 ~ 2020-09-11 |
| Brandon Koslawy · Brandon Koslawy Building Co | 120a North Main St, Essex, CT 06426 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Claire Brandon | 116 W 23rd St Fl 5, New York, NY 10011-2599 | Physician/surgeon | ~ |
| Brandon Tyler Floyd | 1007 Brandon Ct, Danville, VA 24540-1064 | Registered Nurse - Temporary | 2018-02-27 ~ 2018-06-26 |
| Brandon Shulman | 2 Riverview Dr, Danbury, CT 06810-6268 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).