ROBERT D BROAD (Credential# 790807) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2017. The license expiration date date is January 31, 2018. The license status is PENDING.
ROBERT D BROAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002482. The credential type is psychologist. The effective date is February 1, 2017. The expiration date is January 31, 2018. The business address is 69 Seabright Ave, Bridgeport, CT 06605-3426. The current status is pending.
| Licensee Name | ROBERT D BROAD |
| Credential ID | 790807 |
| Credential Number | 8.002482 |
| Credential Type | Psychologist |
| Business Address |
69 Seabright Ave Bridgeport CT 06605-3426 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 2003-05-16 |
| Effective Date | 2017-02-01 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2020-05-21 |
| Street Address | 69 SEABRIGHT AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-3426 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Wheeler | 69 Seabright Ave, Bridgeport, CT 06605 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy J Desel | 37 Seabright Ave, Bridgeport, CT 06605-3426 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anne M Hyde | 45 Seabright Ave, Bridgeport, CT 06605-3426 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Monica D Davis | 103 Seabright Ave, Bridgeport, CT 06605-3426 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Psychologist |
| License Type + County | Psychologist + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott Harvey | 56 Broad St., Norwich, CT 06360 | Psychologist | 2018-11-01 ~ 2019-11-30 |
| Joanna C Procaccini | 203 Broad St Ste C4, Milford, CT 06460 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| Katherine J Bell | 428 Broad St, Windsor, CT 06095-3008 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Katherine D Tsatsanis | 63 Broad St, Guilford, CT 06437-2636 | Psychologist | 2020-01-01 ~ 2020-12-31 |
| James J Connolly | 758 Broad St. Ext., Waterford, CT 06385 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| William K Stableford | 152 Broad St, Guilford, CT 06437 | Psychologist | 2019-03-01 ~ 2020-02-29 |
| Alyse C Beekman | 180 Broad St Apt 1330, Stamford, CT 06901-5000 | Psychologist | 2019-07-01 ~ 2020-06-30 |
| Elena L Grigorenko | 212 Broad St Unit 3, Meriden, CT 06450-5836 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Tiffany Lynn Konsza | 6l Townhouse Rd, Broad Brook, CT 06016-9641 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Judith D Hanono-yaron | 200 Broad Street, Apt. 2437, Stamford, CT 06901 | Psychologist | 2009-02-19 ~ 2010-02-28 |
Please comment or provide details below to improve the information on ROBERT D BROAD.
| 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).