STEPHEN T O'BRIEN
Physician/surgeon


Address: 804 Meadowview Dr, East Windsor, CT 06088-9107

STEPHEN T O'BRIEN (Credential# 543012) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.

Business Overview

STEPHEN T O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019445. The credential type is physician/surgeon. The effective date is July 1, 2017. The expiration date is June 30, 2018. The business address is 804 Meadowview Dr, East Windsor, CT 06088-9107. The current status is inactive.

Basic Information

Licensee Name STEPHEN T O'BRIEN
Credential ID 543012
Credential Number 1.019445
Credential Type Physician/Surgeon
Business Address 804 Meadowview Dr
East Windsor
CT 06088-9107
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-07-08
Effective Date 2017-07-01
Expiration Date 2018-06-30
Refresh Date 2018-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
144253 CSP.0006902 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 804 MEADOWVIEW DR
City EAST WINDSOR
State CT
Zip Code 06088-9107

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Competitor

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City EAST WINDSOR
Zip Code 06088
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST WINDSOR

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James R Merikangas C/o O'brien, Bethany, CT 06524 Physician/surgeon 2002-01-03 ~ 2003-02-28
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Elizabeth A O'brien 9 Forest Green Rd, Rye, NH 03870-2047 Physician/surgeon 2012-11-01 ~ 2013-10-31
Catherine L O'brien 506 Fallbrook Dr., Venice, FL 34292 Physician/surgeon 2006-03-23 ~ 2006-08-31
James W. O'brien Md 888 S King St, Honolulu, HI 96813-3097 Physician/surgeon 2018-04-01 ~ 2019-03-31
Gina L O'brien Md New England Pediatrics, Stamford, CT 06902 Physician/surgeon 2000-03-13 ~ 2001-03-31
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Dataset Information

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).

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