BRIAN D O'DONNELL
Physician Assistant


Address: Po Box 426, Marshfield Hills, MA 02051-0426

BRIAN D O'DONNELL (Credential# 742608) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.

Business Overview

BRIAN D O'DONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000859. The credential type is physician assistant. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is Po Box 426, Marshfield Hills, MA 02051-0426. The current status is inactive.

Basic Information

Licensee Name BRIAN D O'DONNELL
Credential ID 742608
Credential Number 23.000859
Credential Type Physician Assistant
Business Address Po Box 426
Marshfield Hills
MA 02051-0426
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-06-04
Effective Date 2018-12-01
Expiration Date 2019-11-30
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
214598 CSP.0028423 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address PO BOX 426
City MARSHFIELD HILLS
State MA
Zip Code 02051-0426

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
John P Stofko Po Box 66, Marshfield Hills, MA 02051 Pharmacist 1997-02-01 ~ 1998-01-31

Competitor

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City MARSHFIELD HILLS
Zip Code 02051
License Type Physician Assistant
License Type + County Physician Assistant + MARSHFIELD HILLS

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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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