BRIGID A O'DONNELL
Controlled Substance Registration for Practitioner


Address: 62 Panorama Dr, Brewster, NY 10509-3210

BRIGID A O'DONNELL (Credential# 1463075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 19, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

BRIGID A O'DONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067144. The credential type is controlled substance registration for practitioner. The effective date is December 19, 2017. The expiration date is February 28, 2019. The business address is 62 Panorama Dr, Brewster, NY 10509-3210. The current status is lapsed.

Basic Information

Licensee Name BRIGID A O'DONNELL
Credential ID 1463075
Credential Number CSP.0067144
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 62 Panorama Dr
Brewster
NY 10509-3210
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-12-19
Effective Date 2017-12-19
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1224799 10.119355 Registered Nurse 2014-06-05 2017-12-19 - 2018-12-31 INACTIVE
1460017 12.007417 Advanced Practice Registered Nurse 2017-12-19 2017-12-19 - 2018-12-31 INACTIVE
1227036 10.119300-TEMP Registered Nurse - Temporary 2014-06-04 2014-06-04 - 2014-10-01 INACTIVE

Office Location

Street Address 62 PANORAMA DR
City BREWSTER
State NY
Zip Code 10509-3210

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Competitor

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City BREWSTER
Zip Code 10509
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BREWSTER

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House of Brigid Inc. 71 Running Brook Circle, Fairfield, CT 06824 Public Charity 2009-10-21 ~ 2010-11-30
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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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