ISABEL BRODERSEN PA (Credential# 741904) is licensed (Physician Assistant) 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.
ISABEL BRODERSEN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000155. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 935 Serenity Point Dr, Okatie, SC 29909. The current status is active.
| Licensee Name | ISABEL BRODERSEN PA |
| Credential ID | 741904 |
| Credential Number | 23.000155 |
| Credential Type | Physician Assistant |
| Business Address |
935 Serenity Point Dr Okatie SC 29909 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163661 | CSP.0023040 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 935 Serenity Point Dr |
| City | Okatie |
| State | SC |
| Zip Code | 29909 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daneyse A Cassell | 4470 Spring Island, Okatie, SC 29909 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Jessie D Sherman | 34 Osprey Circle, Okatie, SC 29909 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne F Ulrich | 172 Argent Way, Bluffton, SC 29909 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| William R Shanahan Jr | 77 Clifton Drive, Bluffton, SC 29909 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan D Kotce | 112 Winding Oak Drive, Okatie, SC 29909 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| William C. Franzon | 978 Northlake Blvd., Okatie, SC 29909 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Kathleen J Crowley | 27 Andover Place, Bluffton, SC 29909 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Julianne Ruske | 17 Nightingale Lane, Bluffton, SC 29909 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joan E Morris | 43 Spring Island Dr, Okatie, SC 29909 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Diane B Freeman | 812 Gleneagle Court, Bluffton, SC 29909 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 29909 | |||
| City | Okatie |
| Zip Code | 29909 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Okatie |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isabel Klarberg | 146 Manor Parkway, Uniondale, NY 11553 | Physician Assistant | 2009-05-22 ~ 2010-06-30 |
| Sabrina Isabel Butler | 1957 Mill Plain Rd, Fairfield, CT 06824 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Isabel Tavarez | 29 Garen Drive, Bridgeport, CT 06606 | Family Child Care Assistant | 2002-01-02 ~ 2004-01-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Isabel S Rathbone | 75 Peck Rd, Bethany, CT 06524 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Isabel Gross | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ferne R Braveman | 261 Isabel Street, Los Angeles, CA 90065 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Isabel N Morais | 5 Derby Street, Newton, MA 02465 | Physician/surgeon | 2007-06-25 ~ 2008-07-31 |
| Isabel D Goncalves | 3180 Main St Suite 202, Bridgeport, CT 06606 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Beatriz Isabel Sanchez Rodriguez | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-28 ~ 2021-03-31 |
Please comment or provide details below to improve the information on ISABEL BRODERSEN PA.
| 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).