BRIAN FILLMORE (Credential# 742012) is licensed (Physician Assistant) 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.
BRIAN FILLMORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000263. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 45 Old Barnabas Road, Woodbridge, CT 06525 1947. The current status is active.
Licensee Name | BRIAN FILLMORE |
Credential ID | 742012 |
Credential Number | 23.000263 |
Credential Type | Physician Assistant |
Business Address |
45 Old Barnabas Road Woodbridge CT 06525 1947 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-10-29 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-26 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian Fillmore | 3 Linden Street # 8, Vernon, CT 06066 | Notary Public Appointment | 2017-07-10 ~ 2022-07-31 |
Brian Fillmore | 45 Old Barnabas Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Street Address | 45 Old Barnabas Road |
City | Woodbridge |
State | CT |
Zip Code | 06525 1947 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | Woodbridge |
Zip Code | 06525 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Woodbridge |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian T Maurer Pa | 19 Maple St, Tariffville, CT 06081-9636 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Brian C Michaels | 535 East 70 Street, New York, NY 10021 | Physician Assistant | ~ |
Brian Beltrani | 135 Pearl St Apt 3, Middletown, CT 06457-2823 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Brian A Karwaski | 68 Chatham Dr, Manchester, CT 06042-8521 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Brian D O'donnell | Po Box 426, Marshfield Hills, MA 02051-0426 | Physician Assistant | 2018-12-01 ~ 2019-11-30 |
Brian Remes | 41 Proctor Dr, West Hartford, CT 06117-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Brian P Munday | 222 Penn Dr, West Hartford, CT 06119-1044 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Brian Korn Pa | 606 Foster St, South Windsor, CT 06074-2958 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
R Brian Lenoci | 15 Liberty Street, Madison, CT 06443 | Physician Assistant | 2017-05-01 ~ 2018-04-30 |
Brian Michael Picciano | 158 Cherry St Apt 2d, Milford, CT 06460-3446 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).