PATRICK A BRODERICK (Credential# 540327) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.
PATRICK A BRODERICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012392. The credential type is physician/surgeon. The effective date is October 1, 2010. The expiration date is September 30, 2011. The business address is Stamford Hospital, Stamford, CT 06904. The current status is inactive.
| Licensee Name | PATRICK A BRODERICK |
| Credential ID | 540327 |
| Credential Number | 1.012392 |
| Credential Type | Physician/Surgeon |
| Business Address |
Stamford Hospital Stamford CT 06904 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1965-12-13 |
| Effective Date | 2010-10-01 |
| Expiration Date | 2011-09-30 |
| Refresh Date | 2012-01-04 |
| Street Address | STAMFORD HOSPITAL |
| City | STAMFORD |
| State | CT |
| Zip Code | 06904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew P Zdzieblo | Stamford Hospital, Stamford, CT 06902 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Kiger Lau | Stamford Hospital, Stamford, CT 06902 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael K Adusei | Stamford Hospital, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Frank A Masino Md | Stamford Hospital, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Noel I Robin Md | Stamford Hospital, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald B Rakos Md | Stamford Hospital, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas H Fiebach | Stamford Hospital, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory D N Pearson | Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Stephanie A Fogel | Stamford Hospital, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Arnold J Schwartz Md | Stamford Hospital, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shahrzad Mohammadi Md | The Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elaine Colandro | 217 Southfield Ave, Stamford, CT 06904 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Carla-vanessa Ruiz | 112 Pine Hill Avenue 2, Stamford, CT 06904 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
| Gerald L Vincent | P O Box 904, Stamford, CT 06904 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Angelico F Fontaine | P.o. Box 122, Stamford, CT 06904 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Sonia Laureano | 84 Toros Ave, Stamford, CT 06904 | Family Child Care Substitute | ~ |
| John F Revay | 100 Maple Tree Avenue Apt C, Stamford, CT 06904 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Michael's Fine Painting LLC | P.o Box 196, Stamford, CT 06904 | Home Improvement Contractor | 2019-03-06 ~ 2019-11-30 |
| Gustavo Held | Box 10957, Stamford, CT 06904 | Notary Public Appointment | 1987-07-01 ~ 1992-03-31 |
| Find all Licenses in zip 06904 | |||
| City | STAMFORD |
| Zip Code | 06904 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patrick Broderick | 67 Rocky Hill Rd, New Fairfield, CT 06812-2709 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| 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 |
| John Dennis Broderick | 7755 Center Ave, Huntington Beach, CA 92647 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Daniel Broderick · Dan Broderick Carpentry | 40 Parsonage Hill Rd, Northford, CT 06472-1490 | Emergency Medical Technician | 2018-04-18 ~ 2021-04-01 |
| Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Patrick W O'daly | 760 Route 52, Beacon, NY 12508 | Physician/surgeon | 1995-08-23 ~ 1996-09-30 |
| George S Patrick Md | 215 Main St Fl 3, Northampton, MA 01060-3122 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Patrick J Cahill Do | 999 Summer St Ste 401, Stamford, CT 06905-5546 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on PATRICK A BRODERICK.
| 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).