SAMELA M BROWN (Credential# 1309148) is licensed (Physician Assistant) 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.
SAMELA M BROWN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003429. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 309 Old Town Farm Rd, Woodbury, CT 06798. The current status is active.
| Licensee Name | SAMELA M BROWN |
| Credential ID | 1309148 |
| Credential Number | 23.003429 |
| Credential Type | Physician Assistant |
| Business Address |
309 Old Town Farm Rd Woodbury CT 06798 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1312030 | CSP.0061506 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 309 Old Town Farm Rd |
| City | Woodbury |
| State | CT |
| Zip Code | 06798 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | Woodbury |
| Zip Code | 06798 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Woodbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven J Samela Cpa | 992 High Ridge Rd, Stamford, CT 06905 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| 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 |
| Kyle R Brown Pa | 51 Braemar Dr, Cheshire, CT 06410-1613 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| James P Brown Pa | 50 Black Walnut Dr, Middletown, CT 06457 | Physician Assistant | 2005-05-05 ~ 2006-05-31 |
| Heidi L Boerman | 1313 Brown Rd, Martinsburg, WV 25404-6560 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Marie Brown-farley Pac | 254 W Main St, Cheshire, CT 06410-2411 | Physician Assistant | 2002-10-23 ~ 2003-11-30 |
| John A Kawa | 198 Daniel Brown Dr, Mystic, CT 06355-1659 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Meredith B Brown Pa | 14 San Souci Dr, South Hadley, MA 01075-1380 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
| Diane M Brown Pa | 3259 Hone Ave, Bronx, NY 10469 | Physician Assistant | 2006-08-31 ~ 2007-08-31 |
Please comment or provide details below to improve the information on SAMELA M BROWN.
| 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).