PATRICK R CONCANNON MD (Credential# 540536) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
PATRICK R CONCANNON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012943. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 3 Barley Hill Rd., Old Saybrook, CT 06475. The current status is inactive.
| Licensee Name | PATRICK R CONCANNON MD |
| Credential ID | 540536 |
| Credential Number | 1.012943 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Barley Hill Rd. Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1967-04-25 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161017 | CSP.0018629 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 3 Barley Hill Rd. |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick J Concannon | 8 Center St, Medway, MA 02053 | Fire Protection Unlimited Contractor | ~ |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Patrick J Greene | 50 Glenbrook Rd, Stamford, CT 06902 | Physician/surgeon | 1994-06-23 ~ 1995-04-30 |
| Patrick W O'daly | 760 Route 52, Beacon, NY 12508 | Physician/surgeon | 1995-08-23 ~ 1996-09-30 |
| Patrick J Carolan | 88 Stonewall Ln, Fairfield, CT 06824-7809 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patrick F Carone | 43 Andrews Dr, Massapequa Pk, NY 11762 | Physician/surgeon | 2004-11-01 ~ 2005-10-31 |
| Patrick J Dean | 150 Collins St., Memphis, TN 38112 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| James Patrick Rielly | 11 Almeida Dr, Warren, RI 02885-2901 | Physician/surgeon | ~ |
| Delia J Wu | 900 E. Patrick Henry, Burkeville, VA 23922 | Physician/surgeon | 1995-10-10 ~ 1996-11-30 |
Please comment or provide details below to improve the information on PATRICK R CONCANNON MD.
| 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).