RICHARD H BRODY (Credential# 551391) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 3, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
RICHARD H BRODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033792. The credential type is physician/surgeon. The effective date is January 3, 1997. The expiration date is February 28, 1998. The business address is 145 Coventry Lane, Longmeadow, MA 01106. The current status is inactive.
Licensee Name | RICHARD H BRODY |
Credential ID | 551391 |
Credential Number | 1.033792 |
Credential Type | Physician/Surgeon |
Business Address |
145 Coventry Lane Longmeadow MA 01106 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-06-10 |
Effective Date | 1997-01-03 |
Expiration Date | 1998-02-28 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161535 | CSP.0022511 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-09-15 - 1996-07-01 | INACTIVE |
Street Address | 145 COVENTRY LANE |
City | LONGMEADOW |
State | MA |
Zip Code | 01106 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONGMEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONGMEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven A Brody | 93 Norton Street, New Haven, CT 06511 | Physician/surgeon | 1979-03-19 ~ 1980-12-31 |
David W Brody | Arden Hill Hospital, Goshen, NY 10924 | Physician/surgeon | 1995-02-27 ~ 1996-02-29 |
David Brody | 6135 Eaglecrest Drive, Huntington Beach, CA 92648 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
David M Brody | 8187 Quail Meadow Way, West Palm Beach, FL 33412 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Richard L Brody Md | St. Francis Emergency Medical Group, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Samantha Brody | 2307 Se Tibbetts St, Portland, OR 97202 | Naturopathic Physician | 1998-01-06 ~ 1999-01-31 |
Robert W Brody | 33 Church Hill Rd, Newtown, CT 06470-1637 | Naturopathic Physician | 2019-10-01 ~ 2020-09-30 |
Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Brody's Seafood Market & Deli | 1 Bridge St, Norwich, CT 06360-1356 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
Please comment or provide details below to improve the information on RICHARD H BRODY.
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).