KEITH O'BRIEN (Credential# 2006714) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 26, 2020. The license expiration date date is October 31, 2020. The license status is ACTIVE.
KEITH O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064924. The credential type is physician/surgeon. The effective date is February 26, 2020. The expiration date is October 31, 2020. The business address is 263 Farmington Ave, Farmington, CT 06032. The current status is active.
| Licensee Name | KEITH O'BRIEN |
| Credential ID | 2006714 |
| Credential Number | 1.064924 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Ave Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-26 |
| Effective Date | 2020-02-26 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2020-02-27 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith O'brien | 85 Hicks St., Meriden, CT 06450 | Hoisting Equipment Operator | 2012-09-09 ~ 2014-09-08 |
| Street Address | 263 Farmington Ave |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| 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 | ~ |
| Clark E O'brien | P.o. Box 722, West Simsbury, CT 06092 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| James W. O'brien Md | 888 S King St, Honolulu, HI 96813-3097 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| James E O'brien Md | 31 Surrey Dr, Wethersfield, CT 06109 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| James R Merikangas | C/o O'brien, Bethany, CT 06524 | Physician/surgeon | 2002-01-03 ~ 2003-02-28 |
| Catherine L O'brien | 506 Fallbrook Dr., Venice, FL 34292 | Physician/surgeon | 2006-03-23 ~ 2006-08-31 |
| Elizabeth A O'brien | 9 Forest Green Rd, Rye, NH 03870-2047 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Gina L O'brien Md | New England Pediatrics, Stamford, CT 06902 | Physician/surgeon | 2000-03-13 ~ 2001-03-31 |
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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).