THOMAS G BRADY PA (Credential# 741946) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
THOMAS G BRADY PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000197. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 23 Scuppo Rd, Woodbury, CT 06798. The current status is active.
Licensee Name | THOMAS G BRADY PA |
Credential ID | 741946 |
Credential Number | 23.000197 |
Credential Type | Physician Assistant |
Business Address |
23 Scuppo Rd Woodbury CT 06798 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-10-15 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
389460 | CSP.0036751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-11-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
162400 | CSP.0021764 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-01-11 - 1995-07-01 | INACTIVE |
Street Address | 23 SCUPPO RD |
City | WOODBURY |
State | CT |
Zip Code | 06798 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly A Brady | 23 Scuppo Rd, Woodbury, CT 06798 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Find all Licenses in zip 06798 |
City | WOODBURY |
Zip Code | 06798 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WOODBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marie E Brady | 40 Prospect St 1-2h, Norwalk, CT 06850 | Physician Assistant | 1993-12-01 ~ 1994-02-28 |
Shawn R Brady Pa-c | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Wesley R Brady · W R Brady & Son | 56 Norwich Ave, Colchester, CT 06415 | Home Improvement Contractor | 2015-12-14 ~ 2016-11-30 |
Carole L Thomas | 100 Grand St, New Britain, CT 06052-2016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Thomas C Beltz | 153 Mill St, Uxbridge, MA 01569-2022 | Physician Assistant | 2019-09-03 ~ 2020-09-30 |
Thomas S Doty Pa | 310 85th St C6, Brooklyn, NY 11209 | Physician Assistant | 2005-07-22 ~ 2006-06-30 |
Thomas V Mangano Pa | 145 Pacer Ln, Plantsville, CT 06479-1484 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Diana Waxler | 1 Thomas St, Scarsdale, NY 10583-1030 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Marc Thomas Civitano | 51 Caprice Dr, Stamford, CT 06902 | Physician Assistant | ~ |
Thomas P Moreau | 8 Heights Rd, Barrington, NH 03825-3934 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
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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).