EDWARD G BRADLEY MD (Credential# 539358) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 13, 2001. The license expiration date date is December 31, 2002. The license status is INACTIVE.
EDWARD G BRADLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009093. The credential type is physician/surgeon. The effective date is November 13, 2001. The expiration date is December 31, 2002. The business address is 234 Bibbins Rd, Easton, CT 06612. The current status is inactive.
| Licensee Name | EDWARD G BRADLEY MD |
| Credential ID | 539358 |
| Credential Number | 1.009093 |
| Credential Type | Physician/Surgeon |
| Business Address |
234 Bibbins Rd Easton CT 06612 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1958-09-05 |
| Effective Date | 2001-11-13 |
| Expiration Date | 2002-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152415 | CSP.0003943 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 234 BIBBINS RD |
| City | EASTON |
| State | CT |
| Zip Code | 06612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy L Belanger | 140 Stepney Road, Easton, CT 06612 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Gwen C Easdon | 888 Sport Hill Rd, Easton, CT 06612 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Jessica Lynne Oliver | 4 Lilac Lane, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Grega | 412 Sport Hill Road, Easton, CT 06612 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierre H Estime Do | 45 Meadow Ridge Drive, Easton, CT 06612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Ann Liik | 1092 Black Rock Turnpike, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen Izzo · H. Roark Woodworking | 56 Burr Street, Easton, CT 06612 | Home Improvement Contractor | 2020-06-16 ~ 2020-11-30 |
| Louise Weintraub Linsky | 45 Ridgeway Road, Easton, CT 06612 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Ewa B Dembosky | 14 Crescent Drive, Easton, CT 06612 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Andrew S Nemergut | 706 North Park Avenue, Easton, CT 06612 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06612 | |||
| City | EASTON |
| Zip Code | 06612 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EASTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Jane M Kanowitz | 78 Bradley St, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| John W Edelglass | 1 Bradley Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David A Carlson Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Bradley J Gornstein | 5 Gullane Dr, Slingerlands, NY 12159-9287 | Physician/surgeon | 2014-10-08 ~ 2015-08-31 |
| 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 |
| Mary E Braddock | 1 Bradley Cir, Enfield, CT 06082-3824 | Physician/surgeon | ~ 1992-04-30 |
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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).