CHRISTIAN T. BROCKENBERRY (Credential# 1037134) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTIAN T. BROCKENBERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051536. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 56 Brookwood Drive, Woodbridge, CT 06525. The current status is active.
| Licensee Name | CHRISTIAN T. BROCKENBERRY |
| Credential ID | 1037134 |
| Credential Number | CSP.0051536 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Brookwood Drive Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-10-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1005740 | 2.010610 | Dentist | 2011-08-09 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 56 Brookwood Drive |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis R Brockenberry | 56 Brookwood Drive, Woodbridge, CT 06525 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christian G Heinis | 292 Lincoln St, Worcester, MA 01605-2106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian E Davis | 6 Germantown Rd, Danbury, CT 06810-5005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William K Christian Md | 31 Livingston St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-09-14 ~ 2006-02-28 |
| Rahn K Bailey | 333 Christian St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1994-08-16 ~ 1996-07-01 |
| Christian E Bartels | 14 Fern St, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian Theodosis | 78 Olive St#422, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-25 ~ 2005-02-28 |
| Christian A. Wysocki | 81 Dorrance St, Hamden, CT 06518-3343 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christian R Edwards | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christian Kunteen | 26 Kazo Dr, Shelton, CT 06484-5713 | Controlled Substance Registration for Practitioner | ~ |
| Christian D Nagy Md | 40 Chapel St Apt 211, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on CHRISTIAN T. BROCKENBERRY.
| 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).