MEAGHAN E BRODERICK (Credential# 1491290) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2022. The license status is ACTIVE.
MEAGHAN E BRODERICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059187-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2022. The business address is 120 Towne St Unit 559, Stamford, CT 06902-6169. The current status is active.
| Licensee Name | MEAGHAN E BRODERICK |
| Credential ID | 1491290 |
| Credential Number | 1.059187-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
120 Towne St Unit 559 Stamford CT 06902-6169 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1438580 | CSP.0066333 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-24 | 2017-07-24 - 2019-02-28 | LAPSED |
| Street Address | 120 TOWNE ST UNIT 559 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-6169 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexa Broderick | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Meaghan Dendy Case | 436 Reed Rd, Swansea, MA 02777-4025 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Daniel Broderick · Dan Broderick Carpentry | 40 Parsonage Hill Rd, Northford, CT 06472-1490 | Emergency Medical Technician | 2018-04-18 ~ 2021-04-01 |
| Timothy J Broderick | 131 Springbrook Drive, Middletown, CT 06457 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| Elisabeth C Broderick Md | 950 Massachusetts Ave 1a, Cambridge, MA 02139 | Physician/surgeon | 2004-01-20 ~ 2005-02-28 |
| Jordan W Greenberg | 700 Broderick St, San Francisco, CA 94117 | Physician/surgeon | 1997-03-24 ~ 1998-05-31 |
| Meaghan Serra | 34 Corey Street, Agawam, MA 01001 | Physician Assistant | ~ |
| Meaghan Trzasko | 1247 High Rd, Kensington, CT 06037-1914 | Physician Assistant | ~ |
| Patrick Broderick | 67 Rocky Hill Rd, New Fairfield, CT 06812-2709 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).