DIANE M BROWN PA (Credential# 743435) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 31, 2006. The license expiration date date is August 31, 2007. The license status is INACTIVE.
DIANE M BROWN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001686. The credential type is physician assistant. The effective date is August 31, 2006. The expiration date is August 31, 2007. The business address is 3259 Hone Ave, Bronx, NY 10469. The current status is inactive.
| Licensee Name | DIANE M BROWN PA |
| Credential ID | 743435 |
| Credential Number | 23.001686 |
| Credential Type | Physician Assistant |
| Business Address |
3259 Hone Ave Bronx NY 10469 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-09-22 |
| Effective Date | 2006-08-31 |
| Expiration Date | 2007-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 419879 | CSP.0038484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-25 | 2006-03-13 - 2007-02-28 | INACTIVE |
| Street Address | 3259 HONE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10469 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Novlett Sangster | 3217 Gunther Ave, Bronx, NY 10469 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Norma E Thompson | 3224 Pearsall Avenue, Bronx, NY 10469 | Licensed Practical Nurse | 2020-06-19 ~ 2017-06-30 |
| Justine M Gagliardotto | 2207 Kingsland Avenue, Bronx, NY 10469 | Notary Public Appointment | 2015-02-01 ~ 2020-01-31 |
| Rosetta Napolitano | 2535 Westervelt Avenue, Bronx, NY 10469 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Tiffani Lemonious | 3235 Tenbroeck Ave, Bronx, NY 10469 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Dara Germaine Gaulman | 1465 Needham Avenue, Bronx, NY 10469 | Registered Nurse | 2020-04-21 ~ 2021-01-31 |
| Sache Reynolds | 3244 Wickham Ave, The Bronx, NY 10469 | Medication Administration Certification | 2020-05-05 ~ 2022-05-04 |
| Nadine Ellise-acevedo | 3523 Tiemann Ave, Bronx, NY 10469 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Candeish Thomas | 318 South Second Ave, Mount Vernon, NY 10469 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Khalika Marie Davis | 1486 Needham Avenue, Bronx, NY 10469 | Registered Nurse | 2020-03-12 ~ 2020-10-31 |
| Find all Licenses in zip 10469 | |||
| City | BRONX |
| Zip Code | 10469 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| Diane R Levien | 138 Cedar Rd, Wilton, CT 06897-3631 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Diane St. Pierre | 22-7 Hudson St, Bethel, CT 06801-2031 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Diane M Barnes Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Hilary Diane Sugar | 103 Fairview Avenue, Boonton, NJ 07005 | Physician Assistant | ~ |
| Diane C Erianne Pa | 10 Kimberly Lane, Watertown, CT 06795 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
| Diane R Johnson Pa | 5841 Route 112, Halifax, VT 05358 | Physician Assistant | 2008-11-17 ~ 2009-11-30 |
| Diane Miller | 217 Kelzie Peeler Rd., Murray, KY 42071 | Physician Assistant | 2010-11-01 ~ 2011-10-31 |
| Diane B Keckley Pa | 4 Dairy Lane, Cromwell, CT 06416 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Rishia L Brown | 418 Farmington Ave, New Britain, CT 06053 | Physician Assistant | 1981-01-01 ~ 1994-01-31 |
Please comment or provide details below to improve the information on DIANE M 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).