ELISABETH C BRODERICK MD (Credential# 557708) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 20, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
ELISABETH C BRODERICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040125. The credential type is physician/surgeon. The effective date is January 20, 2004. The expiration date is February 28, 2005. The business address is 950 Massachusetts Ave 1a, Cambridge, MA 02139. The current status is inactive.
| Licensee Name | ELISABETH C BRODERICK MD |
| Credential ID | 557708 |
| Credential Number | 1.040125 |
| Credential Type | Physician/Surgeon |
| Business Address |
950 Massachusetts Ave 1a Cambridge MA 02139 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-02-01 |
| Effective Date | 2004-01-20 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 288214 | CSP.0031427 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-02-21 - 2003-02-28 | INACTIVE |
| Street Address | 950 MASSACHUSETTS AVE 1A |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Stimson Associates Landscape Architects Inc | 288 Norfolk Street, 5th Floor, Cambridge, MA 02139 | Landscape Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Atlas Venture Fund Xii, L.p. | 400 Technology Square, Cambridge, MA 02139 | Securities - Exemptions | 2020-06-10 ~ |
| David J Chilinski | 221 Hampshire St, Cambridge, MA 02139 | Architect | 2020-08-01 ~ 2021-07-31 |
| Vestigo Ventures Fund II, L.p. | One Kendall Sq, Ste B2101, Cambridge, MA 02139 | Securities - Exemptions | 2020-05-22 ~ |
| Volat Networks, Inc. | 501 Massachusetts Ave, Cambridge, MA 02139 | Securities - Exemptions | 2020-04-22 ~ |
| James E Williams | 35 Landsdowne Street, Cambridge, MA 02139 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elicio Therapeutics, Inc. | One Kendall Square, Cambridge, MA 02139 | Securities - Exemptions | 2020-03-13 ~ |
| Naseem Z Razi | 323 Elm St Unit #1, Cambridge, MA 02139 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Agios Pharmaceuticals, Inc. · N/a | 88 Sidney Street, Cambridge, MA 02139 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-06-14 ~ |
| Prime Impact Equity Fund I, LLC | 625 Massachusetts Ave., Cambridge, MA 02139 | Securities - Exemptions | 2019-12-30 ~ |
| Find all Licenses in zip 02139 | |||
| City | CAMBRIDGE |
| Zip Code | 02139 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CAMBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
| Patrick Broderick | 67 Rocky Hill Rd, New Fairfield, CT 06812-2709 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| John Dennis Broderick | 7755 Center Ave, Huntington Beach, CA 92647 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Elisabeth Sappenfield | 80 Seymour St, Hartford, CT 06102-8000 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nancy Elisabeth Law Md | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2003-11-13 ~ 2004-12-31 |
| Elisabeth Fishbein | 45 Red Coat Rd, Westport, CT 06880-1414 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elisabeth R Jenks | 141 East 89th St, New York, NY 10128 | Physician/surgeon | 1997-05-27 ~ 1998-06-30 |
| Elisabeth A Daneels | 76 Friendly Court, Babylon, NY 11702 | Physician/surgeon | 2001-01-16 ~ 2001-11-30 |
| Elisabeth Farnum | 98 Overhill Road, East Greenwich, RI 02818 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ELISABETH C BRODERICK 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).