STANFORD R BRODER MD (Credential# 555087) 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.
STANFORD R BRODER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037497. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is Urology Associates of Danbury PC, Danbury, CT 06810. The current status is active.
| Licensee Name | STANFORD R BRODER MD |
| Credential ID | 555087 |
| Credential Number | 1.037497 |
| Credential Type | Physician/Surgeon |
| Business Address |
Urology Associates of Danbury PC Danbury CT 06810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-02-05 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 210687 | CSP.0027985 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | UROLOGY ASSOCIATES OF DANBURY PC |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Broder Contracting Inc | 336 Washington Ave, New Rochelle, NY 10801 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Kathy A Keller | 719 Alvarado Row, Stanford, CA 94305-1037 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Thomas E Marchiondo Do | 493 Stanford Rd, Fairless, PA 19030 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Emily P. Stanford | 70 Morgan Lane, Tolland, CT 06084-3906 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ugo Paolucci | 1111 Summer Street, Stanford, CT 06905 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Stanford Ross Plavin | 438 Tara Trl, Atlanta, GA 30327-4926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Thomas G Miller | 1018 Stanford St, Santa Monica, CA 90403 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Glenn B Broder · Glenn Broder Construction Carpentry | 13 Old Easton Tpke, Weston, CT 06883 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Broder Group Real Estate LLC | 43 North Main Street, West Hartford, CT 06107 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Stanford B. Weiss | 2150 Black Rock Turnpike, Fairfield, CT 06825 | Certified Public Accountant Firm Permit | 2013-01-01 ~ 2013-12-31 |
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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).