SEAN J O'DONNELL MD (Credential# 552426) 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.
SEAN J O'DONNELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034830. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 410 Saybrook Road, Middletown, CT 06457. The current status is active.
| Licensee Name | SEAN J O'DONNELL MD |
| Credential ID | 552426 |
| Credential Number | 1.034830 |
| Credential Type | Physician/Surgeon |
| Business Address |
410 Saybrook Road Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-09-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162761 | CSP.0023717 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 410 SAYBROOK ROAD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Whitehead Jr | 410 Saybrook Road, Middletown, CT 06457 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lucian F Gorgan | 410 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James H Walsh | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence Berson Md | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nadeem Hussain | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Mcdonald Pa | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregor J Koobatian | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario Q Ricci | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy O'donnell | 53 Durham Rd, Skillman, NJ 08558-1829 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James K O'donnell | 19 Lyman Circle, Shaker Heights, OH 44122 | Physician/surgeon | 2005-04-20 ~ 2006-06-30 |
| Patrick J O'donnell | 24 Shady Knoll Drive, Longmeadow, MA 01106 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Carmel M O'donnell | One Comcast Center, 1701 John F Kennedy Blvd, Philadelphia, PA 19103 | Physician/surgeon | ~ |
| Sean X Luo | 53 W 86, New York, NY 10024 | Physician/surgeon | 2017-10-04 ~ 2018-06-30 |
| Sean M O'donnell | 39 Main St., Bethell, CT 06881 | Hairdresser/cosmetician | 2012-04-01 ~ 2014-03-31 |
| Sean J Pittock | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Sean P O'donnell | 11 Bruce Pl, Greenwich, CT 06830-6535 | Emergency Medical Technician | 2017-04-28 ~ 2019-12-31 |
| Sean M. Mclaughlin Md | 71 Haynes St, Manchester, CT 06040-4188 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sean K Herman | 29 Scofield Ave, Apt 3, Stamford, CT 06906 | Physician/surgeon | 2005-03-09 ~ 2006-04-30 |
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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).