PATRICK H. CARROLL (Credential# 546575) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
PATRICK H. CARROLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027420. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 126 Meadowbrook Ln, Westport, MA 02790. The current status is active.
Licensee Name | PATRICK H. CARROLL |
Credential ID | 546575 |
Credential Number | 1.027420 |
Credential Type | Physician/Surgeon |
Business Address |
126 Meadowbrook Ln Westport MA 02790 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1986-07-11 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-10-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1122561 | CSP.0053708 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-17 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 126 Meadowbrook Ln |
City | Westport |
State | MA |
Zip Code | 02790 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle L Costa | 109 Jillian Way, Westport, MA 02790 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Trevor Jeffery Sullivan | 3 Devol Ave, Westport, MA 02790 | Registered Nurse | 2020-03-18 ~ 2021-02-28 |
Kenneth Decosta | 26 Sandpiper Dr, Westport, MA 02790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Deborah M Oliveira | 15 Michaud Street, Westport, MA 02790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Joseph S Medeiros | 133 Plymouth Blvd, Westport, MA 02790 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
Jason E Theriault | 40 Morning Dove Dr, Westport, MA 02790 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
Daniel Joseph Sousa | 29 Old County Rd, Westport, MA 02790 | Crane Operator | ~ |
Ricardo L Sanchez | 154 Brayton Point Road, Westport, MA 02790 | Controlled Substance Registration for Practitioner | 2017-10-11 ~ 2019-02-28 |
Edward A Zane Md | 41 Devol Ave, Westport, MA 02790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shane Kirby Ferreira | 220 Narrow Ave, Westport, MA 02790 | Hoisting Equipment Operator | ~ |
Find all Licenses in zip 02790 |
City | Westport |
Zip Code | 02790 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Westport |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Deborah J Carroll | 699 Route 9w S, Nyack, NY 10960-5011 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Suzanne M Carroll Md | 11 S Brainard St, Naperville, IL 60540-4901 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Carroll P Osgood Jr | 501 Howard Ave, Altoona, PA 16601 | Physician/surgeon | 1996-09-03 ~ 1997-10-31 |
Lynda Carroll | P.o. Box 1006, Nelspruit, 1200 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Carroll B Lesesne | 620 Park Ave, New York, NY 10065-6591 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Tamara Carroll | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Richard E Carroll | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Kevin W Carroll | 3680 Broadway, Ft. Myers, FL 33901 | Physician/surgeon | 2001-01-11 ~ 2002-02-28 |
James W Carroll | 75 Ridgewood Ave, North Haven, CT 06473 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).