GAIL M O'BRIEN
Controlled Substance Registration for Practitioner


Address: 181 Edwards St, New Haven, CT 06511-3734

GAIL M O'BRIEN (Credential# 1352523) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

GAIL M O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062662. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 181 Edwards St, New Haven, CT 06511-3734. The current status is lapsed.

Basic Information

Licensee Name GAIL M O'BRIEN
Credential ID 1352523
Credential Number CSP.0062662
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 181 Edwards St
New Haven
CT 06511-3734
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-05-18
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1325792 1.055231 Physician/Surgeon 2016-05-04 2017-05-01 - 2018-04-30 INACTIVE

Office Location

Street Address 181 EDWARDS ST
City NEW HAVEN
State CT
Zip Code 06511-3734

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Benjamin Goldman-israelow 191 Edwards St, New Haven, CT 06511-3734 Resident Physician 2018-07-01 ~ 2021-06-30
Ronni Getz 201 Edwards St Unit 1, New Haven, CT 06511-3734 Registered Nurse 2017-07-01 ~ 2018-06-30
Shirley F Birch 201 Edwards St, New Haven, CT 06511-3734 Registered Nurse 2013-02-14 ~ 2014-12-31

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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