RENEE GRAHAM (Credential# 1391305) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 14, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RENEE GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064407. The credential type is controlled substance registration for practitioner. The effective date is August 14, 2019. The expiration date is February 28, 2021. The business address is 718 Cook Hill Rd, Danielson, CT 06239-1525. The current status is active.
| Licensee Name | RENEE GRAHAM |
| Credential ID | 1391305 |
| Credential Number | CSP.0064407 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
718 Cook Hill Rd Danielson CT 06239-1525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-30 |
| Effective Date | 2019-08-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1027138 | 10.101818 | Registered Nurse | 2011-08-17 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1388969 | 12.006842 | Advanced Practice Registered Nurse | 2016-11-17 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1027684 | 10.101540-TEMP | Registered Nurse - Temporary | 2011-08-04 | 2011-08-04 - 2011-12-02 | INACTIVE |
| Street Address | 718 COOK HILL RD |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-1525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Nelson | 792 Cook Hill Rd, Danielson, CT 06239-1525 | Registered Nurse | 2020-02-05 ~ 2020-12-31 |
| Olga R Serrano | 782 Cook Hill Rd, Danielson, CT 06239-1525 | Optician Apprentice | 2019-09-01 ~ 2020-08-31 |
| Jennifer L Wyatt | 764 Cook Hill Rd, Danielson, CT 06239-1525 | Registered Nurse | 2013-03-01 ~ 2014-03-31 |
| Sean M Sullivan | 750 Cook Hill Rd, Danielson, CT 06239-1525 | Emergency Medical Technician | 2016-05-31 ~ 2018-09-30 |
| Paul E Spada | 792 Cook Hill Rd, Danielson, CT 06239-1525 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra Elizabeth Gibson | 72 Westfield Ave, Danielson, CT 06239 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Meg A Collelo | 146 Wauregan Road, Danielson, CT 06239 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-04-30 |
| Matthew U Paquin | 20 Buck Street, Danielson, CT 06239 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Carrie B Pichie | 702 Cook Hill Road, Danielson, CT 06239 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Saylee Phongsamphanh | 50 Ruth St, Danielson, CT 06239 | Emergency Medical Technician | 2017-07-25 ~ 2020-06-30 |
| Sarah R Gates - Williams | 42 Broad St, Danielson, CT 06239 | Notary Public Appointment | 2020-06-22 ~ 2025-06-30 |
| Christy W Atsales | 246 Broad Street, Danielson, CT 06239 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Bonnie Steele | 216 Mechanic Street, Danielson, CT 06239 | Medication Administration Certification | 2020-06-27 ~ 2022-06-26 |
| Leina'ala Rossman | 18 Prospect Ave. Apt H, Danielson, CT 06239 | Medication Administration Certification | 2020-08-08 ~ 2022-08-07 |
| Bashir Q Muhammad | 19 B Palmer St, Danielson, CT 06239 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06239 | |||
| City | DANIELSON |
| Zip Code | 06239 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANIELSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timur T Graham Md | 24 Park Dr Apt 25f, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-06-22 ~ 2011-02-28 |
| Elizabeth Ann L Graham Pa | 260 Willow St, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Graham B Garber | 45 Greenwood Ave, Rumford, RI 02916 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Graham M Grabowski | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Meghan Graham | 106 Captains Way, Philadelphia, PA 19146 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
| Renee' M Giometti Md | 5 Mohegan Ln, Rye Brook, NY 10573 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Renee S Kohanski | 3 Hospital Plz Ste 310, Old Bridge, NJ 08857-3095 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
| Renee P. Quarrie | 175 Meadows End Rd, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Renee M Provost | 25 Oak Lane, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2017-12-28 ~ 2019-02-28 |
Please comment or provide details below to improve the information on RENEE GRAHAM.
| 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).