SAMUEL J BRODSKY (Credential# 152677) 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.
SAMUEL J BRODSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017822. 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 793 Post Rd E Apt E2, Westport, CT 06880-5254. The current status is active.
Licensee Name | SAMUEL J BRODSKY |
Credential ID | 152677 |
Credential Number | CSP.0017822 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
793 Post Rd E Apt E2 Westport CT 06880-5254 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-05-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
544615 | 1.023573 | Physician/Surgeon | 1982-05-17 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 793 POST RD E APT E2 |
City | WESTPORT |
State | CT |
Zip Code | 06880-5254 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anya G. Brodsky | 32 W 95th St Apt 2b, New York, NY 10025-6713 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nina N Brodsky | 21 Janice Road, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edwin M Brodsky Dvm | 26 Meadow Dr, Port Washington, NY 11050-4121 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jill Brodsky | 5232 Town Walk Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2006-03-15 ~ 2007-02-28 |
Samuel H Yun | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Samuel H Belok | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-09-13 ~ 2015-02-28 |
Samuel Jacob | 574 Central Ave Apt 3a, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-08-29 ~ 2013-02-28 |
Samuel Li | 162 Beelzlebub Rd, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Samuel Flynn | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-07-18 ~ 2021-02-28 |
Samuel P Sprotzer Md | 202 Cherry St, Milford, CT 06460 | 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).