PATRICK MCBROOM MD (Credential# 544720) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 6, 1999. The license expiration date date is November 30, 2000. The license status is INACTIVE.
PATRICK MCBROOM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023743. The credential type is physician/surgeon. The effective date is October 6, 1999. The expiration date is November 30, 2000. The business address is 3851 Main St, Bridgeport, CT 06606. The current status is inactive.
| Licensee Name | PATRICK MCBROOM MD |
| Credential ID | 544720 |
| Credential Number | 1.023743 |
| Credential Type | Physician/Surgeon |
| Business Address |
3851 Main St Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - PRIOR DISCIPLINE |
| Issue Date | 1982-07-12 |
| Effective Date | 1999-10-06 |
| Expiration Date | 2000-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149195 | CSP.0013004 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 3851 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Era Rehabilitation Center Inc. · New Era Rehabilitation Center, Inc. | 3851 Main St, Bridgeport, CT 06606-2864 | Psychiatric Outpatient Clinic | 2018-08-02 ~ 2022-06-30 |
| Christina M Kolade | 3851 Main St, Bridgeport, CT 06606 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Pizza Heaven | 3851 Main St, Bridgeport, CT 06606-2864 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angela Huestipa · La Fonda Restaurant | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Liquor | 2019-12-28 ~ 2021-04-27 |
| Stuart A Jacobson Md | 3851 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Luz Ramirez · Costa Del Sol | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Liquor | 2016-05-26 ~ 2017-05-21 |
| Saunie M Andre · Tatane Restaurant | 3851 Main St, Bridgeport, CT 06606-2864 | Restaurant Wine & Beer | 2013-01-22 ~ 2014-01-11 |
| W H Academy of Karate · Jmc Karate Inc | 3851 Main St, Bridgeport, CT 06606 | Martial Arts Health Club | 1999-04-05 ~ 1999-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| 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 J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Patrick H Mcnulty | 333 Cedar St 3-fmp, New Haven, CT 06520-8017 | Physician/surgeon | 1999-09-21 ~ 2000-10-31 |
| Patrick H. Carroll | 126 Meadowbrook Ln, Westport, MA 02790 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| 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 |
| Audrice Francois | 19 W 224 Patrick, Oak Brook, IL 60521 | Physician/surgeon | 1998-01-26 ~ 1999-01-31 |
| Patrick W O'daly | 760 Route 52, Beacon, NY 12508 | Physician/surgeon | 1995-08-23 ~ 1996-09-30 |
| Patrick L. Leong | 6 Quaker Rd, Nashua, NH 03063-2842 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Patrick G Cudahy | 20 York St., New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on PATRICK MCBROOM 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).