MARIE BROWN-FARLEY PAC
Physician Assistant


Address: 254 W Main St, Cheshire, CT 06410-2411

MARIE BROWN-FARLEY PAC (Credential# 742625) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 23, 2002. The license expiration date date is November 30, 2003. The license status is INACTIVE.

Business Overview

MARIE BROWN-FARLEY PAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000876. The credential type is physician assistant. The effective date is October 23, 2002. The expiration date is November 30, 2003. The business address is 254 W Main St, Cheshire, CT 06410-2411. The current status is inactive.

Basic Information

Licensee Name MARIE BROWN-FARLEY PAC
Credential ID 742625
Credential Number 23.000876
Credential Type Physician Assistant
Business Address 254 W Main St
Cheshire
CT 06410-2411
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-08-13
Effective Date 2002-10-23
Expiration Date 2003-11-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
242486 CSP.0030070 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 254 W MAIN ST
City CHESHIRE
State CT
Zip Code 06410-2411

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Competitor

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City CHESHIRE
Zip Code 06410
License Type Physician Assistant
License Type + County Physician Assistant + CHESHIRE

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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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