NICOLE BREAZEALE (Credential# 1530739) 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.
NICOLE BREAZEALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069085. 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 7 Greenway St, Hamden, CT 06517. The current status is active.
| Licensee Name | NICOLE BREAZEALE |
| Credential ID | 1530739 |
| Credential Number | CSP.0069085 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Greenway St Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1502642 | 10.151716 | Registered Nurse | 2018-07-05 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1509854 | 12.007728 | Advanced Practice Registered Nurse | 2018-08-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1502781 | 10.149566-TEMP | Registered Nurse - Temporary | 2018-04-05 | 2018-04-05 - 2018-07-05 | INACTIVE |
| Street Address | 7 GREENWAY ST |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Thomas Breazeale | 7 Greenway St, Hamden, CT 06517-1317 | Registered Nurse | 2019-09-16 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole A. Zuber Md | 42 Howard Ct, Newark, NJ 07103-3456 | Controlled Substance Registration for Practitioner | 2013-06-09 ~ 2015-02-28 |
| Hannah Nicole Zwibelman | 30 Fox St, Fairfield, CT 06824-6708 | Controlled Substance Registration for Practitioner | 2019-09-13 ~ 2021-02-28 |
| Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole A Schneider | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole S Kraese | 5 Delta Ave, Danbury, CT 06810-7501 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| Nicole M Wagschal | 150 Balazs Rd, Willington, CT 06279-2401 | Controlled Substance Registration for Practitioner | 2013-10-01 ~ 2015-02-28 |
| Nicole Carreau | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2020-02-11 ~ 2021-02-28 |
| Nicole Joyce | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on NICOLE BREAZEALE.
| 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).