Thomas G Brady Pa Controlled Substance Registration for Practitioner
23 Scuppo Rd, Woodbury, CT 06798


Thomas G Brady Pa is licensed in the eLicensing system of Connecticut. The license credential ID is 389460. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 23 Scuppo Rd, Woodbury, CT 06798. The zip code is 06798.


Thomas G Brady Pa · 23 Scuppo Rd, Woodbury, CT 06798

Credential ID 389460
Name THOMAS G BRADY PA
Type INDIVIDUAL
Address 23 SCUPPO RD
WOODBURY, CT 06798
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0036751
Credential Type CSP
Credential Number 36751
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 11/09/2004
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/26/201

street_number: 23
route: Scuppo Road (Scuppo Rd)
locality, political: Woodbury
admin_level_2, political: Litchfield County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06798
postal_code_suffix: 3812
types : premise
latitude: 41.5200027
longitude: -73.2004586
latlng: (41.5200027, -73.2004586)


THOMAS G BRADY PA · Connecticut Business

Thomas G Brady Pa · Physician Assistant 23 Scuppo Rd, Woodbury, CT 06798

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