BRAD G PETITTI (Credential# 1427759) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BRAD G PETITTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003852. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 437 W Rutland Rd, Milford, CT 06461-2449. The current status is active.
Licensee Name | BRAD G PETITTI |
Credential ID | 1427759 |
Credential Number | 23.003852 |
Credential Type | Physician Assistant |
Business Address |
437 W Rutland Rd Milford CT 06461-2449 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-06-22 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1433322 | CSP.0066029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
1078211 | 28.006275 | Radiographer | 2012-07-02 | 2015-07-01 - 2016-06-30 | INACTIVE |
Street Address | 437 W RUTLAND RD |
City | MILFORD |
State | CT |
Zip Code | 06461-2449 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian David North | 459 W Rutland Rd, Milford, CT 06461-2449 | Emergency Medical Responder | 2018-12-18 ~ 2021-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bleixen Carolina Andrade | 18 Grassy Lane, Milford, CT 06461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Lesley A Zinsky | 63 Westwood Road, Milford, CT 06461 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Melanie A Maguire | 132 Cornfield Rd, Milford, CT 06461 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Audrey J Seigle | 304 Foxwood Lane, Milford, CT 06461 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ariana M Acquarulo | 663 West Ave #22, Milford, CT 06461 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Ronald D'aurelio | 69 Sassacus Drive, Milford, CT 06461 | Architect | 2020-08-01 ~ 2021-07-31 |
Kellie Catherine Doris Balfe | 71 Orange Ave, Milford, CT 06461 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
Donna J Iaffaldano · Shamatovich | 45 Yankee Hollow Road, Milford, CT 06461 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kaitlynn Stevens | 27 Munson Street, Milford, CT 06461 | Registered Nurse | ~ |
Scott S Lucas | 59 Undine Street, Milford, CT 06461 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06461 |
City | MILFORD |
Zip Code | 06461 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MILFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Meghan E Petitti | 87 Loop Rd, Watertown, CT 06795 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Bridgette A Petitti · Petitti | 85 Litchfield Street, Thomaston, CT 06787 | Hairdresser/cosmetician | 2002-09-26 ~ 2003-11-30 |
Brad A Simmons | 90 Commonwealth Avenue, Worcester, MA 01604 | Physical Therapist Assistant | 2007-10-03 ~ 2008-10-31 |
Brad Buffington · Brad's Painting | 10 Macbean Dr, New Fairfield, CT 06812-2649 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Bradford P Hardy · Brad of All Trades | 33 Union St, Deep River, CT 06417 | Home Improvement Contractor | 2000-12-08 ~ 2001-11-30 |
Brad A Jubelirer | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Brad Kligman | 260 E Main St Ste 201, Smithtown, NY 11787-2925 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Brad Hotchkiss · Brad Hotchkiss Carpentry | 11 Cocheco Avenue, Branford, CT 06405 | Home Improvement Contractor | 2010-02-04 ~ 2010-11-30 |
Brad Dubow · Brad Dubow�s Superior Interiors | 17 Dilliston Rd, Barkhamsted, CT 06063-3020 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Brad of All Trades LLC · Ct Valley Windows and Siding | 20 Hemlock Drive, Deep River, CT 06417 | Home Improvement Contractor | 2008-12-08 ~ 2009-11-30 |
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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).