PHILIP BRUNQUELL (Credential# 155639) 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.
PHILIP BRUNQUELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014447. 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 100 Ladyslipper Ln, Glastonbury, CT 06033-1740. The current status is active.
| Licensee Name | PHILIP BRUNQUELL |
| Credential ID | 155639 |
| Credential Number | CSP.0014447 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Ladyslipper Ln Glastonbury CT 06033-1740 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546516 | 1.027324 | Physician/Surgeon | 1986-06-20 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 100 LADYSLIPPER LN |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith Yust Aprn | 16 Ladyslipper Ln, Glastonbury, CT 06033-1740 | Advanced Practice Registered Nurse | 2015-05-01 ~ 2016-04-30 |
| 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 |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip Yi Kit Pang | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | ~ |
| Philip M Manger | 265 College St 12q, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-13 ~ 2005-02-28 |
| Philip P Mcgeoghan Jr | 418 Meadow St., Agawam, MA 01001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip R Pinter | 278 Vernon St, Manchester, CT 06042-3418 | Controlled Substance Registration for Practitioner | 2019-12-03 ~ 2021-02-28 |
| Philip S Kurzman | 431 Whitney Ave Apt B2, New Haven, CT 06511-2330 | Controlled Substance Registration for Practitioner | 2008-09-12 ~ 2009-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip S Heilpern Md | Stone Mountain, GA 30087 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on PHILIP BRUNQUELL.
| 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).