MICHAEL JOSEPH BREEN (Credential# 1357328) 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 INACTIVE.
MICHAEL JOSEPH BREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062896. 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 2720 State St Apt 4, Hamden, CT 06517-2237. The current status is inactive.
| Licensee Name | MICHAEL JOSEPH BREEN |
| Credential ID | 1357328 |
| Credential Number | CSP.0062896 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2720 State St Apt 4 Hamden CT 06517-2237 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491539 | 1.059274-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 2720 STATE ST APT 4 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-2237 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andre Paolo Rebaza | 2720 State St Apt 4, Hamden, CT 06517-2237 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline V Smith · Powell | 2720 State St Apt 5, Hamden, CT 06517-2237 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Neha Singh | 2390 State Street Unit 7k, Hamden, CT 06517-2237 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Samantha T Newman | 2720 State St Apt 11, Hamden, CT 06517-2237 | Athletic Trainer | 2017-10-01 ~ 2018-09-30 |
| Lisa A Bemben | 2720 State St Apt 8, Hamden, CT 06517-2237 | Real Estate Salesperson | 2010-05-11 ~ 2011-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanette Breen Lnm | 2395 Harrison Ave, Baldwin, NY 11510 | Controlled Substance Registration for Practitioner | ~ 2000-02-28 |
| Christine N Breen Pa-c | 7 Stebbins Ave, Staten Island, NY 10310-1637 | Controlled Substance Registration for Practitioner | 2011-03-08 ~ 2013-02-28 |
| Michael W Joseph | 254 Riverside Dr, Hamden, CT 06518-2624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Michael Vinetz | 25 York St, New Haven, CT 06510-3221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Michael Ryan | 5 Comstock Dr, Shrewsbury, MA 01545-5461 | Controlled Substance Registration for Practitioner | ~ |
| David Breen Lomasney | 11132 76th Ave Apt 5b, Forest Hills, NY 11375-6403 | Controlled Substance Registration for Practitioner | 2019-06-06 ~ 2021-02-28 |
| Joseph Michael Lane Md | 38 Saw Mill Hill Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| St Joseph's Manor | 6448 Main Street, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2000-12-22 |
| St Joseph's Hospital | 128 Strawberry Hill Ave, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Please comment or provide details below to improve the information on MICHAEL JOSEPH BREEN.
| 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).