SCOTT M O'BRIEN (Credential# 743502) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SCOTT M O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001753. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 426 Barber Hill Rd, South Windsor, CT 06074-1628. The current status is active.
| Licensee Name | SCOTT M O'BRIEN |
| Credential ID | 743502 |
| Credential Number | 23.001753 |
| Credential Type | Physician Assistant |
| Business Address |
426 Barber Hill Rd South Windsor CT 06074-1628 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-01-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 449586 | CSP.0040562 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 426 BARBER HILL RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-1628 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew R Ray · A Ray Contracting | 446 Barber Hill Rd, South Windsor, CT 06074-1628 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy O'brien Pa-c | 106 Foxboro Dr, Norwalk, CT 06851-1147 | Physician Assistant | 2019-03-01 ~ 2020-02-29 |
| Kaitlyn E O'brien | 67 Magnolia Ave, Norwalk, CT 06850-3634 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michelle C O'brien | 2123 W Schiller St Apt 2f, Chicago, IL 60622-8829 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
| Patrick O'brien | 747 Amostown Rd, West Springfield, MA 01089-4302 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Scott Orrahood | Cmr 402 Box 1171, Apo Ae, 09180 | Physician Assistant | 2012-11-01 ~ 2013-10-31 |
| Scott Rubin Pa | 44 Edgewood Ave, Longmeadow, MA 01106-1308 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Scott T Rybak Pa | 15 Thornbush Rd, Rockfall, CT 06481 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Nadine F Scott Pa | 59 Sunnybrook Dr, Avon, CT 06001-2529 | Physician Assistant | 2013-01-01 ~ 2013-12-31 |
| Scott C Healer | 47 Perry Dr, Burlington, CT 06013-1840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Scott E Harrison | 933 Hebron Ave., Glastonbury, CT 06033 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
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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).