KYLE R BROWN PA (Credential# 743323) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KYLE R BROWN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001574. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 51 Braemar Dr, Cheshire, CT 06410-1613. The current status is active.
| Licensee Name | KYLE R BROWN PA |
| Credential ID | 743323 |
| Credential Number | 23.001574 |
| Credential Type | Physician Assistant |
| Business Address |
51 Braemar Dr Cheshire CT 06410-1613 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-12-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 392480 | CSP.0036889 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 691344 | 14.005768 | Physical Therapist | 1997-04-04 | 2015-06-01 - 2016-05-31 | INACTIVE |
| Street Address | 51 BRAEMAR DR |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-1613 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori L Brown | 51 Braemar Dr, Cheshire, CT 06410-1613 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael P Lewis | 61 Braemar Dr, Cheshire, CT 06410-1613 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle Michael Schilling | 331 Merrow Rd, Tolland, CT 06084-3935 | Physician Assistant | ~ |
| Kyle Edward Adams | 31 Puttker Road, North Stonington, CT 06359 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| 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 |
| James P Brown Pa | 50 Black Walnut Dr, Middletown, CT 06457 | Physician Assistant | 2005-05-05 ~ 2006-05-31 |
| Samela M Brown | 309 Old Town Farm Rd, Woodbury, CT 06798 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Meredith B Brown Pa | 14 San Souci Dr, South Hadley, MA 01075-1380 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Marie Brown-farley Pac | 254 W Main St, Cheshire, CT 06410-2411 | Physician Assistant | 2002-10-23 ~ 2003-11-30 |
| Heidi L Boerman | 1313 Brown Rd, Martinsburg, WV 25404-6560 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| John A Kawa | 198 Daniel Brown Dr, Mystic, CT 06355-1659 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KYLE R 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).