ARTHUR E BROADUS MD (Credential# 542657) 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.
ARTHUR E BROADUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018075. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 22 Lincoln St, New Haven, CT 06511-3806. The current status is active.
| Licensee Name | ARTHUR E BROADUS MD |
| Credential ID | 542657 |
| Credential Number | 1.018075 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Lincoln St New Haven CT 06511-3806 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1976-07-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162878 | CSP.0021896 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-05-13 - 2021-02-28 | ACTIVE |
| Street Address | 22 LINCOLN ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3806 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arthur Broadus · Yale University School of Medicine | 1 Gilbert Street, New Haven, CT 06510 | Controlled Substance Laboratory | 2013-02-01 ~ 2014-01-31 |
| Arthur P Mostel | 77 3rd St Apt C11, Stamford, CT 06905-4708 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Arthur L Levy | New Haven, CT 06515 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Arthur O Seltzer Md | 2, North Haven, CT 06473 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Arthur Lew | 225 Lyncroft Road, New Rochelle, NY 10804 | Physician/surgeon | 1975-05-02 ~ 1977-03-01 |
| Arthur D Siek | 40 Prospect St., Norwalk, CT 06850 | Physician/surgeon | 2007-12-17 ~ 2008-04-30 |
| Arthur Keefe Md | 47 Jolley Dr, Bloomfield, CT 06002 | Physician/surgeon | 2007-09-17 ~ 2008-10-31 |
| Arthur D Heller | 750 Kappock St., Riverdale, NY 10463 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Arthur A Wachtel | 107 Landsdowne, Westport, CT 06880 | Physician/surgeon | 2007-01-23 ~ 2008-03-31 |
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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).