PATRICK KAVANAGH (Credential# 1502006) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PATRICK KAVANAGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061402. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10000 Bo Bajuras, Isabela, PR 00662. The current status is active.
| Licensee Name | PATRICK KAVANAGH |
| Credential ID | 1502006 |
| Credential Number | 1.061402 |
| Credential Type | Physician/Surgeon |
| Business Address |
10000 Bo Bajuras Isabela PR 00662 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-19 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1525259 | CSP.0068757 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-20 | 2018-06-20 - 2019-02-28 | LAPSED |
| Street Address | 10000 BO BAJURAS |
| City | ISABELA |
| State | PR |
| Zip Code | 00662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angelica Noemi Roman Machado | 3018 Calle Los Nietos, Isabela, PR 00662 | Registered Nurse | ~ |
| Zulmary Caban | Avenida Noel Estrada, Isabela, PR 00662 | Registered Nurse | 2017-05-15 ~ 2017-10-31 |
| Daniel A Mercado Torres | Urb Islazul, Isabela, PR 00662 | Tv & Radio Limited Dish Antenna Technician | 2007-10-04 ~ 2008-08-31 |
| Daniel A Mercado | Urb Islazul, Isabela, 00662 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Norma Evelyn Mendez | Po Box 763, Isabela, PR 00662-0763 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bobby P Garcia | Magsaysay,cabatuan, Isabela, PH 3315 | Registered Nurse | 2013-12-10 ~ 2014-02-28 |
| City | ISABELA |
| Zip Code | 00662 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ISABELA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Kavanagh | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Brian Kavanagh Md | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter Kavanagh · Kavanagh Improvements | 763 Oxford Rd, Oxford, CT 06478 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Patrick H. Carroll | 126 Meadowbrook Ln, Westport, MA 02790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Patrick A Izzo | 555 Newfield Ave, Stamford, CT 06905 | Physician/surgeon | 1998-12-23 ~ 1999-11-30 |
| Patrick J Greene | 50 Glenbrook Rd, Stamford, CT 06902 | Physician/surgeon | 1994-06-23 ~ 1995-04-30 |
| Patrick H Mcnulty | 333 Cedar St 3-fmp, New Haven, CT 06520-8017 | Physician/surgeon | 1999-09-21 ~ 2000-10-31 |
| Patrick J Dean | 150 Collins St., Memphis, TN 38112 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Please comment or provide details below to improve the information on PATRICK KAVANAGH.
| 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).