JOSEPH J BRENNAN JR
Physician/surgeon


Address: 374 Bartlett Drive, Madison, CT 06443

JOSEPH J BRENNAN JR (Credential# 546515) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

JOSEPH J BRENNAN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027323. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 374 Bartlett Drive, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name JOSEPH J BRENNAN JR
Credential ID 546515
Credential Number 1.027323
Credential Type Physician/Surgeon
Business Address 374 Bartlett Drive
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1986-06-20
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-18

Other licenses

ID Credential Code Credential Type Issue Term Status
155370 CSP.0014352 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 374 BARTLETT DRIVE
City MADISON
State CT
Zip Code 06443

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Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City MADISON
Zip Code 06443
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MADISON

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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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