BRADLEY SCHLUSSEL (Credential# 1642159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BRADLEY SCHLUSSEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063773. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 825 Chalkstone Ave, Providence, RI 02908-4728. The current status is active.
| Licensee Name | BRADLEY SCHLUSSEL |
| Credential ID | 1642159 |
| Credential Number | 1.063773 |
| Credential Type | Physician/Surgeon |
| Business Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1642590 | CSP.0070529 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-28 | 2019-06-28 - 2021-02-28 | ACTIVE |
| Street Address | 825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Find all Licenses in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Norman Schlussel | 1200 High Ridge Rd Ste 3, Stamford, CT 06905-1202 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bradley Han Lee | 535 E 70th St, New York, NY 10021 | Physician/surgeon | ~ |
| Bradley H Staehle Md | Po Box 53, Weatogue, CT 06089 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sachin R Parekh Md | 25 Bradley Way, Glastonbury, CT 06033-2495 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Kaplan Md | 240 Bradley St, New Haven, CT 06510-1108 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bradley Nels Younggren | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dante N Lewis Md | 140 Bradley Ave, Hamden, CT 06514 | Physician/surgeon | 2007-05-17 ~ 2008-05-31 |
| Bradley S Foster | 21 Memery Ln, Longmeadow, MA 01106-2573 | Physician/surgeon | 2018-06-18 ~ 2018-10-31 |
| Bradley A Mcgregor | 101 Bodin Circle, Travis Afb, CA 94535 | Physician/surgeon | ~ |
| Jules V Coleman Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 1997-12-22 ~ 1998-11-30 |
Please comment or provide details below to improve the information on BRADLEY SCHLUSSEL.
| 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).