ELIZABETH V PHILBRICK (Credential# 1623201) 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.
ELIZABETH V PHILBRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004385. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 211 E Main St Apt 58, Branford, CT 06405-3148. The current status is active.
Licensee Name | ELIZABETH V PHILBRICK |
Credential ID | 1623201 |
Credential Number | 23.004385 |
Credential Type | Physician Assistant |
Business Address |
211 E Main St Apt 58 Branford CT 06405-3148 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-01-24 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1628254 | CSP.0070159 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-25 | 2019-01-25 - 2021-02-28 | ACTIVE |
1125819 | 70.015583 | Emergency Medical Technician | 2012-10-03 | 2012-10-03 - 2015-06-30 | INACTIVE |
Street Address | 211 E MAIN ST APT 58 |
City | BRANFORD |
State | CT |
Zip Code | 06405-3148 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kelly A Locke | 211 E Main St Apt 58, Branford, CT 06405-3148 | Real Estate Salesperson | 2008-06-01 ~ 2009-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie E Pennington | 211 E Main St Apt 61, Branford, CT 06405-3148 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
Sandra M Brinckwirth | 211 E Main St Apt 62, Branford, CT 06405-3148 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
A & F Philbrick Bros | 74 Holbrook Ave, Willimantic, CT 06226 | Home Improvement Contractor | 1999-10-01 ~ 2000-11-30 |
Clement J Philbrick Jr | 10 Stonemanor Dr, Milford, CT 06460 | Physician/surgeon | 1993-01-25 ~ 1993-10-31 |
Elizabeth C Grasso | Elizabeth Grasso, Stamford, CT 06905 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
Elizabeth Carbonell | 33 Woodfield Rd, Bristol, CT 06010-2655 | Physician Assistant | ~ |
Elizabeth H Newman | 23 Channel Ave, Norwalk, CT 06854-4814 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Sarah Elizabeth Hill | 211 Park Rd, Oxford, CT 06478-6127 | Physician Assistant | ~ |
Elizabeth A Hulinsky | 260 Willow St, Southport, CT 06890-1430 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Elizabeth C Indorf | 211 New Britain Rd Ste 105, Kensington, CT 06037-3167 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Elizabeth Ms Lynch Pa | 20 Colonial Ave, Agawam, MA 01001-1716 | Physician Assistant | 2017-01-01 ~ 2017-12-31 |
Elizabeth J Pecoy | 499 Ridge Rd, Wilbraham, MA 01095-2311 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
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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).