MEREDITH B BROWN PA (Credential# 742531) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
MEREDITH B BROWN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000782. The credential type is physician assistant. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 14 San Souci Dr, South Hadley, MA 01075-1380. The current status is active.
Licensee Name | MEREDITH B BROWN PA |
Credential ID | 742531 |
Credential Number | 23.000782 |
Credential Type | Physician Assistant |
Business Address |
14 San Souci Dr South Hadley MA 01075-1380 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-12-18 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2019-11-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
498008 | CSP.0043272 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-27 | 2015-03-01 - 2017-02-28 | INACTIVE |
212197 | CSP.0028011 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
Street Address | 14 SAN SOUCI DR |
City | SOUTH HADLEY |
State | MA |
Zip Code | 01075-1380 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathryn A Zraunig | 66 San Souci Dr, South Hadley, MA 01075-1380 | Speech and Language Pathologist | 2017-05-01 ~ 2018-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 01075 |
City | SOUTH HADLEY |
Zip Code | 01075 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + SOUTH HADLEY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Meredith Lynn Bourdeau | 305 Columbus Ave, West Harrison, NY 10604 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Meredith J Braga | 238 Toll Gate Road, South Glastonbury, CT 06073 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Meredith L Cronin | 180 S Middle Neck Road, #2s, Great Neck, NY 11021 | Physician Assistant | 2017-09-01 ~ 2018-08-31 |
James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
Rishia L Brown | 418 Farmington Ave, New Britain, CT 06053 | Physician Assistant | 1981-01-01 ~ 1994-01-31 |
Kyle R Brown Pa | 51 Braemar Dr, Cheshire, CT 06410-1613 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Diane M Brown Pa | 3259 Hone Ave, Bronx, NY 10469 | Physician Assistant | 2006-08-31 ~ 2007-08-31 |
Heidi L Boerman | 1313 Brown Rd, Martinsburg, WV 25404-6560 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
Samela M Brown | 309 Old Town Farm Rd, Woodbury, CT 06798 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Marie Brown-farley Pac | 254 W Main St, Cheshire, CT 06410-2411 | Physician Assistant | 2002-10-23 ~ 2003-11-30 |
Please comment or provide details below to improve the information on MEREDITH B BROWN PA.
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).