KATHY O'BRIEN PA-C (Credential# 741993) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 29, 2020. The license status is ACTIVE.
KATHY O'BRIEN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000244. The credential type is physician assistant. The effective date is March 1, 2019. The expiration date is February 29, 2020. The business address is 106 Foxboro Dr, Norwalk, CT 06851-1147. The current status is active.
| Licensee Name | KATHY O'BRIEN PA-C |
| Credential ID | 741993 |
| Credential Number | 23.000244 |
| Credential Type | Physician Assistant |
| Business Address |
106 Foxboro Dr Norwalk CT 06851-1147 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2020-02-29 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 978614 | CSP.0049454 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-12-17 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 161701 | CSP.0021605 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 106 FOXBORO DR |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary D Kocum | 111 Foxboro Dr, Norwalk, CT 06851-1147 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Carol Townsend-ross | 107 Foxboro Dr Unit 107, Norwalk, CT 06851-1147 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy Ngo | 4581 35th Ave N, Saint Petersburg, FL 33713-1111 | Physician Assistant | ~ |
| Kathy J Salu | 501 Winston Dr Apt A, Bakersfield, CA 93309-1540 | Physician Assistant | 2003-01-23 ~ 2004-02-29 |
| Kaitlyn E O'brien | 67 Magnolia Ave, Norwalk, CT 06850-3634 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kathy E Delucia · Evers | 98 Hoyt Lane, Guilford, CT 06437 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michelle C O'brien | 2123 W Schiller St Apt 2f, Chicago, IL 60622-8829 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Patrick O'brien | 747 Amostown Rd, West Springfield, MA 01089-4302 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Scott M O'brien | 426 Barber Hill Rd, South Windsor, CT 06074-1628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kathy L Santos | Po Box 235, Norwalk, CT 06856-0235 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kathy J Campbell | 7 Hopmeadow St, Weatogue, CT 06089-9790 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| James W O'brien · O'brien Builders | 3121 South St, Coventry, CT 06238 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Please comment or provide details below to improve the information on KATHY O'BRIEN PA-C.
| 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).