TIMOTHY J O'BRIEN MD (Credential# 925031) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
TIMOTHY J O'BRIEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048736. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 988 Silas Deane Highway, Wethersfield, CT 06109. The current status is active.
| Licensee Name | TIMOTHY J O'BRIEN MD |
| Credential ID | 925031 |
| Credential Number | 1.048736 |
| Credential Type | Physician/Surgeon |
| Business Address |
988 Silas Deane Highway Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446706 | CSP.0040119 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 988 Silas Deane Highway |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl W. Moeller Md | 988 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael R O'brien | 110 Avon St Apt 1, New Haven, CT 06511-2423 | Physician/surgeon | ~ |
| Meghan O'brien | 8 Hancock Pl, Irvington, NY 10533-2506 | Physician/surgeon | ~ |
| James R Merikangas | C/o O'brien, Bethany, CT 06524 | Physician/surgeon | 2002-01-03 ~ 2003-02-28 |
| Elizabeth A O'brien | 9 Forest Green Rd, Rye, NH 03870-2047 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| James E O'brien Md | 31 Surrey Dr, Wethersfield, CT 06109 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Catherine L O'brien | 506 Fallbrook Dr., Venice, FL 34292 | Physician/surgeon | 2006-03-23 ~ 2006-08-31 |
| James W. O'brien Md | 888 S King St, Honolulu, HI 96813-3097 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Clark E O'brien | P.o. Box 722, West Simsbury, CT 06092 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| John J O'brien | 88 Bainbridge Rd, West Hartford, CT 06119 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Stephen T O'brien | 804 Meadowview Dr, East Windsor, CT 06088-9107 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
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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).