BRADFORD A BOTTGER (Credential# 552967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BRADFORD A BOTTGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035374. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 10 Farview Farm Rd, Redding, CT 06896. The current status is active.
| Licensee Name | BRADFORD A BOTTGER |
| Credential ID | 552967 |
| Credential Number | 1.035374 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Farview Farm Rd Redding CT 06896 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-07-05 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 176435 | CSP.0024627 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 FARVIEW FARM RD |
| City | REDDING |
| State | CT |
| Zip Code | 06896 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison Diskin | 55 Black Rock Turnpike, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Regina O'brien | 17 Stepney Rd, Redding, CT 06896 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lisa Curman Dds | 30 Faview Farm Rd, Redding, CT 06896 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Phyllis Yanney | 47 High Ridge Rd, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Pelzar | 6 Cricklewood Road, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele R Grande | 52 Huckleberry Road, Redding, CT 06896 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mark A Mason | 423 Newtown Turnpike, Redding, CT 06896 | Real Estate Salesperson | ~ |
| Little Meadow Farm | 313 Redding Rd, Redding, CT 06896 | Farm Distillery Liquor | 2020-05-12 ~ 2021-09-11 |
| Leonard W Topping IIi | 94 Mountain Road, Redding, CT 06896 | Real Estate Salesperson | 2020-03-03 ~ 2021-05-31 |
| Robert P Parisot | 109 Mountain Road, West Redding, CT 06896 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06896 | |||
| City | REDDING |
| Zip Code | 06896 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + REDDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann M Rasmusson Md | 36 Bradford St # 2, Boston, MA 02118-2119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bradford Frank | 48 Stratton Way, Branford, CT 06405 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
| Erika D Bradford | 69 Bayview Ave, Berkley, MA 02779 | Physician/surgeon | 2008-06-30 ~ 2009-08-31 |
| Paul B Koehler | Rr01 Box 250 H, Bradford, NH 03221 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Bradford C Sodowick | 4 Esterly Farms Rd, Madison, CT 06443 | Physician/surgeon | 1998-04-13 ~ 1999-04-30 |
| Mike H Summerer Md | 169 Bradford Walk, New Britain, CT 06053-1073 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Juan Carlos Deza | 26 Bradford Rd, Scarsdale, NY 10583-7652 | Physician/surgeon | 1985-06-04 ~ 1988-11-30 |
| Bradford Wolk Md | 384-k Merrow Road, Tolland, CT 06084 | Physician/surgeon | 2004-03-15 ~ 2005-03-31 |
| Kenneth A Bradford | 362 Country Lane, Orange, CT 06477 | Physician/surgeon | 2004-02-24 ~ 2005-02-28 |
| Bradford C Lavigne Md | 45 Wells St Suite #103, Westerly, RI 02891 | Physician/surgeon | 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).