BRYAN K ODITT PA (Credential# 742996) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2006. The license expiration date date is March 31, 2007. The license status is INACTIVE.
BRYAN K ODITT PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001247. The credential type is physician assistant. The effective date is January 30, 2006. The expiration date is March 31, 2007. The business address is 64 Three Acre Rd, Groton, CT 06340. The current status is inactive.
| Licensee Name | BRYAN K ODITT PA |
| Credential ID | 742996 |
| Credential Number | 23.001247 |
| Credential Type | Physician Assistant |
| Business Address |
64 Three Acre Rd Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-10-09 |
| Effective Date | 2006-01-30 |
| Expiration Date | 2007-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 328006 | CSP.0033049 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-21 - 2007-02-28 | INACTIVE |
| Street Address | 64 THREE ACRE RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan P Haggerty | 529 Fenn Rd, Newington, CT 06111 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Bryan D Walker Pa | Po Box 204383, New Haven, CT 06520 | Physician Assistant | 2003-09-17 ~ 2004-10-31 |
| Bryan T Danna Pa-c | 92 Genesee Ln, Madison, CT 06443-1666 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Bryan E Stanislaus Pa | 3922 Wedonia Dr, Cary, NC 27519-6629 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Bryan S Levesque | 93 London Dr, Hamden, CT 06517-2956 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Bryan S Rinaldi | 82 Stone House Rd, Amston, CT 06231-1219 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Amber Leigh Bjerke | 11 Bryan Circle, Seymour, CT 06483 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Bryan Vladimir Garcia Germoso | 168 Laurel Dr, New London, CT 06320-2717 | Family Child Care Assistant | 2019-06-04 ~ 2021-06-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on BRYAN K ODITT 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).