BRANDON OTO (Credential# 1613121) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
BRANDON OTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004365. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 133 Argyle Ave, West Hartford, CT 06107. The current status is active.
Licensee Name | BRANDON OTO |
Credential ID | 1613121 |
Credential Number | 23.004365 |
Credential Type | Physician Assistant |
Business Address |
133 Argyle Ave West Hartford CT 06107 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-01-09 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1635704 | CSP.0070374 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 133 Argyle Ave |
City | West Hartford |
State | CT |
Zip Code | 06107 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Prachi Nitin Godiwala | 133 Argyle Ave, West Hartford, CT 06107 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | West Hartford |
Zip Code | 06107 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + West Hartford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brandon Philip Lombardo | 301 Vilna Rd, Pittston, PA 18640 | Physician Assistant | 2017-10-04 ~ 2018-05-31 |
Brandon Mckanna | 40 Prospect Ave. Bldg. 1-3l, Norwalk, CT 06850 | Resident Physician Assistant | 2019-09-09 ~ 2020-09-11 |
Brandon Tibbitts | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Brandon R Ragozzino | 1313 Avon Blvd, Cheshire, CT 06410-3608 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Brandon C Futrell | 175 West Ave # 6, Stamford, CT 06902-5511 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
Mariangela Viviano | 121 Brandon Ave., Springfield, MA 01119 | Physical Therapist Assistant | 2001-07-17 ~ 2006-11-01 |
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 |
Brandon Tyler Smith | 24 Wallace Row # 1b, Wallingford, CT 06492-3137 | Physical Therapist Assistant | 2020-06-17 ~ 2020-08-31 |
Brandon L Mcginess | 323 S Houghton St, Lake City, MI 49651-8562 | Physical Therapist Assistant | 2017-03-07 ~ 2018-02-28 |
Brandon Alan O�brien | 1739 Foxon Rd, North Branford, CT 06471 | Occupational Therapist Assistant | 2018-03-22 ~ 2019-07-31 |
Please comment or provide details below to improve the information on BRANDON OTO.
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).