SHAWN R BRADY PA-C (Credential# 936326) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHAWN R BRADY PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002417. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005. The current status is active.
| Licensee Name | SHAWN R BRADY PA-C |
| Credential ID | 936326 |
| Credential Number | 23.002417 |
| Credential Type | Physician Assistant |
| Business Address |
201 Chestnut Hill Rd Stafford Springs CT 06076-4005 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 943769 | CSP.0047998 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 879800 | 72.001593 | Paramedic | 2001-10-02 | 2007-05-29 - 2008-02-29 | INACTIVE |
| 873624 | 70.990648 | Emergency Medical Technician | 1999-06-01 | 2001-08-29 - 2003-06-30 | INACTIVE |
| Street Address | 201 CHESTNUT HILL RD |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson Memorial Hospital, Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2020-01-01 ~ 2021-12-31 |
| Asha A Dhamija | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mahendra Patel | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jonathan P Landry | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Wilson | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076 | Frozen Dessert Retailer | 2020-01-24 ~ 2020-12-31 |
| Johnson Memorial Hospital Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2014-01-01 ~ 2015-12-31 |
| Johnson Memorial Medical Center | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Bazaar Permit Class 3 | 2014-08-25 ~ 2014-08-25 |
| Dawn R Gertson Md | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Practitioner | 2009-03-11 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evergreen Health Care Center | 205 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Chronic & Convalescent Nursing Home | 2019-10-01 ~ 2021-09-30 |
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 201 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Evergreen Healthcare Center · Evergreen Health Care Center | 205 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005 | Chronic & Convalescent Nursing Home | 2014-07-01 ~ 2016-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STAFFORD SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie E Brady | 40 Prospect St 1-2h, Norwalk, CT 06850 | Physician Assistant | 1993-12-01 ~ 1994-02-28 |
| Thomas G Brady Pa | 23 Scuppo Rd, Woodbury, CT 06798 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Shawn C Lear | 3907 Cottonwood Drive, Durham, NC 27705 | Physician Assistant | 2007-09-28 ~ 2008-06-30 |
| Wesley R Brady · W R Brady & Son | 56 Norwich Ave, Colchester, CT 06415 | Home Improvement Contractor | 2015-12-14 ~ 2016-11-30 |
| Shawn Brady | 75 Chapman Street, New Britain, CT 06051 | Notary Public Appointment | 2012-01-01 ~ 2016-12-31 |
| Shawn A Brady · Snet | 144 Maple St, Ellington, CT 06029 | Public Service Technician - Telephone | 2007-10-01 ~ 2008-09-30 |
| Shawn P Brady | 91 Prestige Park Pl, East Hartford, CT 06108-1900 | Tv & Radio Ltd Dish Antenna Dealer Technician | 2019-09-01 ~ 2020-08-31 |
| Brady-built Inc · Brady Built Sunrooms | 160 Southbridge St, Auburn, MA 01501-2583 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Brady Rooms Inc | 10 New Bond St, Worcester, MA 01606 | Home Improvement Contractor | 1999-06-21 ~ 1999-11-30 |
| Melcenia D Brady · Coleman | 108 Howard Ave, New Haven, CT 06519 | Occupational Therapist Assistant | 1995-06-08 ~ 1997-07-31 |
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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).