JOLANTA BRANKIEWICZ
Controlled Substance Registration for Practitioner


Address: 538 Powder Hill Rd # R, Durham, CT 06422-1026

JOLANTA BRANKIEWICZ (Credential# 1457635) 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.

Business Overview

JOLANTA BRANKIEWICZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067003. 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 538 Powder Hill Rd # R, Durham, CT 06422-1026. The current status is active.

Basic Information

Licensee Name JOLANTA BRANKIEWICZ
Credential ID 1457635
Credential Number CSP.0067003
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 538 Powder Hill Rd # R
Durham
CT 06422-1026
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-10-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-06-20

Other licenses

ID Credential Code Credential Type Issue Term Status
1449893 12.007327 Advanced Practice Registered Nurse 2017-10-17 2020-02-01 - 2021-01-31 ACTIVE
1001510 10.101185 Registered Nurse 2011-07-21 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 538 POWDER HILL RD # R
City DURHAM
State CT
Zip Code 06422-1026

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Competitor

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City DURHAM
Zip Code 06422
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM

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Dataset Information

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).

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