TRACY E BRENNAN (Credential# 155260) 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.
TRACY E BRENNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016157. 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 330 Western Boulevard, Glastonbury, CT 06033. The current status is active.
| Licensee Name | TRACY E BRENNAN |
| Credential ID | 155260 |
| Credential Number | CSP.0016157 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
330 Western Boulevard Glastonbury CT 06033 |
| 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 | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547293 | 1.028642 | Physician/Surgeon | 1987-11-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 330 Western Boulevard |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward N Brennan Md | Topping Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Sean Brennan Pa | 360 Bloomfield Ave Ste 209, Windsor, CT 06095-2700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce T Brennan Md | 22 Westfield Ave, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth V Brennan | 4575 Congress St, Fairfield, CT 06824-1724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean J Brennan | 20 Blanket Meadow Rd, Monroe, CT 06468-1098 | Controlled Substance Registration for Practitioner | 2015-06-10 ~ 2017-02-28 |
| Andrea Brennan Pa · Rustine | 45 Belinsky Cir, Oxford, CT 06478-2711 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Brennan | 140 Sherman Street, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Brennan | 162 Babcock Hill Rd, South Windham, CT 06266-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Brennan-centrella | 102 W Ridge Ln, Isle La Motte, VT 05463-6701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy E Kim Md | 178 Linden St Apt #g-4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Please comment or provide details below to improve the information on TRACY E BRENNAN.
| 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).