MARLENE BRODKA (Credential# 1392041) 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.
MARLENE BRODKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064424. 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 1552 Bucks Hill Road, Southbury, CT 06488. The current status is active.
| Licensee Name | MARLENE BRODKA |
| Credential ID | 1392041 |
| Credential Number | CSP.0064424 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1552 Bucks Hill Road Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743786 | 23.002037 | Physician Assistant | 2007-12-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 490631 | CSP.0042936 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-12-17 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 844733 | 70.005000 | Emergency Medical Technician | 2004-07-19 | 2004-07-19 - 2006-03-31 | INACTIVE |
| Street Address | 1552 Bucks Hill Road |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne D Ostermueller | 1552 Bucks Hill Road, Southbury, CT 06488 | Licensed Clinical Social Worker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elaine J Mckemmie | 7 Marlene Dr, Burlington, CT 06013-2104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marlene D Typaldos Sanchez | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Marlene A Chelso Aprn | 127 Tower Rd, Brookfield, CT 06804-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marlene Shute | 20 Attawan Road, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marlene A Murphy-setzko Md | 73 Pinnacle Rd, Farmington, CT 06032-3005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marlene Schaefler | 35 David's Lane, Pound Ridge, NY 10576 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on MARLENE BRODKA.
| 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).