KRISTIN A CARMODY MD
Physician/surgeon


Address: 45 Harding Avenue, Branford, CT 06405

KRISTIN A CARMODY MD (Credential# 562841) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.

Business Overview

KRISTIN A CARMODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045259. The credential type is physician/surgeon. The effective date is February 20, 2008. The expiration date is April 30, 2009. The business address is 45 Harding Avenue, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name KRISTIN A CARMODY MD
Credential ID 562841
Credential Number 1.045259
Credential Type Physician/Surgeon
Business Address 45 Harding Avenue
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-04-02
Effective Date 2008-02-20
Expiration Date 2009-04-30
Refresh Date 2009-08-13

Other licenses

ID Credential Code Credential Type Issue Term Status
469309 CSP.0041384 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-04-27 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 45 HARDING AVENUE
City BRANFORD
State CT
Zip Code 06405

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Marion H Daszuta 45 Harding Avenue, Branford, CT 06405 Notary Public Appointment 1996-11-01 ~ 2001-10-31

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Lupe Monica Placencia-muy 100 East Main Street 2nd Fl, Branford, CT 06405 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-02-28
Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
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Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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