ALEXA BRODERICK (Credential# 2034026) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ALEXA BRODERICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065178-RES. The credential type is resident physician. The effective date is June 22, 2020. The expiration date is June 30, 2021. The business address is 24 Hospital Ave, Danbury, CT 06810-6099. The current status is active.
| Licensee Name | ALEXA BRODERICK |
| Credential ID | 2034026 |
| Credential Number | 1.065178-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-22 |
| Effective Date | 2020-06-22 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2035177 | CSP.0073640 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-13 | 2020-04-13 - 2021-02-28 | ACTIVE |
| Street Address | 24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6099 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Drake | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Patra Childress | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Karri Hester | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Mary Winslow | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
| Minha Kim | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2025-06-30 |
| Arash Rahimi-ardabily | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Krist Aploks | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2025-06-30 |
| Cynthia Mckinney | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Anya Laibangyang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad Umair Bakhsh | 664 Flatbush Ave, West Hartford, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Patricia A Tietjen Md | 24 Hospital Ave 5 South, Danbury, CT 06810-6099 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Oluwatosin Odunsi-akanji | 24 Hospital Ave Dept Of, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric A Schwarz Md | Wcmg Anesthesiology, Danbury, CT 06810-6099 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mishal Khan | 27 Hospital Avenue, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci R Ferris | Wcmg - Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn Weingarten | Wcmg - 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad H Taha | 505 Sienna Dr, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor Usatii Md | Hospitalists Department, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-18 ~ 2017-02-28 |
| Find all Licenses in zip 06810-6099 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meaghan E Broderick | 120 Towne St Unit 559, Stamford, CT 06902-6169 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Alexa R Policastro | 380 Mather St Apt 7408, Hamden, CT 06514-3195 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Alexa Clement | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-06-28 ~ 2019-06-30 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Daniel Broderick · Dan Broderick Carpentry | 40 Parsonage Hill Rd, Northford, CT 06472-1490 | Emergency Medical Technician | 2018-04-18 ~ 2021-04-01 |
| Alexa Ramos · Alexa Rose Treats | 22 Terrace Ave, Naugatuck, CT 06770-4029 | Cottage Food Operation | 2020-02-29 ~ 2021-02-28 |
| Timothy J Broderick | 131 Springbrook Drive, Middletown, CT 06457 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| Alexa Venturini · Alexa Venturini Landscape Designer | 20 Everest Hill Rd, Cornwall, CT 06753 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Elisabeth C Broderick Md | 950 Massachusetts Ave 1a, Cambridge, MA 02139 | Physician/surgeon | 2004-01-20 ~ 2005-02-28 |
| Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
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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).