ANDREA BRODEUR (Credential# 1441553) 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.
ANDREA BRODEUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066528. 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 4 Devine St, North Haven, CT 06473-2142. The current status is active.
| Licensee Name | ANDREA BRODEUR |
| Credential ID | 1441553 |
| Credential Number | CSP.0066528 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Devine St North Haven CT 06473-2142 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 992512 | 47.003604 | Veterinarian | 2011-05-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 4 DEVINE ST |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2142 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teresa M Rodina | 4 Devine St, North Haven, CT 06473-2142 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
| Alessandra Hamlin | 4 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-06-04 ~ 2021-02-28 |
| Catherine Cecelia Schmidt | 4 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lance Rozear Dvm | 4 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leyenda S Harley Dvm | 4 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel T Price Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donald M Rocklin | 2 Devine St Bldg 2, North Haven, CT 06473-2142 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alan M Radoff Md | 2 Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaime Gerber Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen E Possick Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Grubman Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra Allison | 4a Devine St, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Ann Freed Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glen A Henry Md | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaime R Gerber | 2 Devine St Ste 1, North Haven, CT 06473-2142 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 06473-2142 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tia Brodeur | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2017-05-31 |
| Andrea L Looney | 67 Munson Rd, Chesterfield, MA 01012-9712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea W Johnson | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andrea M. Galella | 5 Cambridge Cir, New Milford, CT 06776-3921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Chelsea Lee | 56 Dickinson Rd, Haddam, CT 06438-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea R Lombardi | 16 Kenfield Ln, Waterbury, CT 06708-1509 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
| Andrea Woods | 112 Mansfield Ave, Willimantic, CT 06226-2045 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Andrea M Koploy | 62 Dwight St Apt 5, Brookline, MA 02446-3319 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andrea Radebold | 960 Main St, Branford, CT 06405-3730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L M Silber Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA BRODEUR.
| 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).