BRANDON TIBBITTS (Credential# 1400513) 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.
BRANDON TIBBITTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064684. 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 113 Elm St Ste 304, Enfield, CT 06082-3739. The current status is active.
| Licensee Name | BRANDON TIBBITTS |
| Credential ID | 1400513 |
| Credential Number | CSP.0064684 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
113 Elm St Ste 304 Enfield CT 06082-3739 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon Tibbitts | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Street Address | 113 ELM ST STE 304 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Directions | 113 Elm St Ste 204, Enfield, CT 06082-3739 | Psychiatric Outpatient Clinic | 2016-10-31 ~ 2020-09-30 |
| New Directions Inc of North Central Connecticut | 113 Elm St Ste 204, Enfield, CT 06082-3739 | Public Charity | 2016-06-01 ~ 2017-05-31 |
| New Directions Inc. of North Central Connecticut · New Directions, Inc. of North Central Connecticut | 113 Elm St Ste 204, Enfield, CT 06082-3739 | Substance Abuse | 2015-01-01 ~ 2016-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon W Ko | Po Box 3845, Chinle, AZ 86503 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brandon D Lawrence | 126 Oldfield Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brandon H Mcknight | 8 Haley Ln, Litchfield, CT 06759-2810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brandon M Duncan | 425 Sunshine Rd, Brownsville, TX 78521-1633 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brandon C Yarns | 930 Palm Ave Apt 220, West Hollywood, CA 90069-4050 | Controlled Substance Registration for Practitioner | 2015-05-12 ~ 2017-02-28 |
| Brandon P Olivieri | 10 D Carlton Road, Mansfield, CT 06269 | Controlled Substance Registration for Practitioner | 2011-06-24 ~ 2013-02-28 |
| Norman F Boas Md | 6 Brandon Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Brandon Zakary Erdos | 285 River St, Newton, MA 02465-1437 | Controlled Substance Registration for Practitioner | 2019-01-30 ~ 2021-02-28 |
| Brandon Roth | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brandon R Mancini | 39 Ives St Unit 504, Hamden, CT 06518-2240 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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| 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).