PAIGE J BRENNAN (Credential# 560329) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
PAIGE J BRENNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042747. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 55 Quail Run, Madison, CT 06443-1946. The current status is active.
| Licensee Name | PAIGE J BRENNAN |
| Credential ID | 560329 |
| Credential Number | 1.042747 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Quail Run Madison CT 06443-1946 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-08-18 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 479537 | CSP.0042327 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 55 QUAIL RUN |
| City | MADISON |
| State | CT |
| Zip Code | 06443-1946 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin P Becker | 37 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sierra Autumn Moon Tucker | 49 Quail Run, Madison, CT 06443-1946 | Hairdresser/cosmetician | 2019-12-01 ~ 2021-11-30 |
| Mary Jo Ross | 69 Quail Run, Madison, CT 06443-1946 | Marital and Family Therapist | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige G Wickner Md | 114 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Amy B Nieman | 215 Paige Hill Road, Goffstown, NH 03045 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Alfred L Paige | 15 York Street, New Haven, CT 06520 | Physician/surgeon | 2003-07-18 ~ 2004-04-30 |
| Todd Edward Paige | 83 Pratt Street, Glastonbury, CT 06033 | Physician/surgeon | 2001-05-01 ~ 2002-05-31 |
| Courtney Paige Ridley | 94072 Bayview Dr, Gold Beach, OR 97444 | Physician/surgeon | 2017-11-01 ~ 2018-09-30 |
| Gillian Brennan | 1330 1st Ave. Apt 418, New York, NY 10021 | Physician/surgeon | 2008-09-09 ~ 2009-03-31 |
| Thomas G Brennan Jr | 52 Cotswold Way, Avon, CT 06001 | Physician/surgeon | 1996-12-04 ~ 1998-01-31 |
| Matthew P Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Paige Elizabeth-lee Brennan | 24 Old Putnam Road Ext, Danielson, CT 06239-2026 | Hairdresser/cosmetician | 2019-06-17 ~ 2021-01-31 |
| Troyen A Brennan | 40 Union Park, Boston, MA 02118 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PAIGE J BRENNAN.
| 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).