BRYAN T DANNA PA-C (Credential# 743933) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BRYAN T DANNA PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002184. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 92 Genesee Ln, Madison, CT 06443-1666. The current status is active.
| Licensee Name | BRYAN T DANNA PA-C |
| Credential ID | 743933 |
| Credential Number | 23.002184 |
| Credential Type | Physician Assistant |
| Business Address |
92 Genesee Ln Madison CT 06443-1666 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-10-06 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 516558 | CSP.0044728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 92 GENESEE LN |
| City | MADISON |
| State | CT |
| Zip Code | 06443-1666 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caroline K Danna | 92 Genesee Ln, Madison, CT 06443-1666 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin Ungar Wiehl | 32 Genesee Ln, Madison, CT 06443-1666 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Theresa Donnelly | 76 Genesee Ln, Madison, CT 06443-1666 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johnathan Moulton | 24 Genesee Ln, Madison, CT 06443-1666 | Home Improvement Salesperson | 2013-11-08 ~ 2014-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan K Oditt Pa | 64 Three Acre Rd, Groton, CT 06340 | Physician Assistant | 2006-01-30 ~ 2007-03-31 |
| 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 E Stanislaus Pa | 3922 Wedonia Dr, Cary, NC 27519-6629 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
| Danna Jennings | 316 Washington Blvd, Half Moon Bay, CA 94019 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Danna Chung | 933 Mamaroneck Ave, Suite 202, Mamaroneck, NY 10543 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| 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 |
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| 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).