DAVID J BRENNEMAN
Controlled Substance Registration for Practitioner


Address: 30 Kelly Ct, Cheshire, CT 06410-4227

DAVID J BRENNEMAN (Credential# 1080775) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

DAVID J BRENNEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052903. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 30 Kelly Ct, Cheshire, CT 06410-4227. The current status is inactive.

Basic Information

Licensee Name DAVID J BRENNEMAN
Credential ID 1080775
Credential Number CSP.0052903
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Kelly Ct
Cheshire
CT 06410-4227
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-26
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
847547 70.007814 Emergency Medical Technician 2006-10-03 2006-10-03 - 2008-07-01 INACTIVE

Office Location

Street Address 30 KELLY CT
City CHESHIRE
State CT
Zip Code 06410-4227

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Competitor

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City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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Dataset Information

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).

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