BRENT CADOGAN (Credential# 1654182) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRENT CADOGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070782. The credential type is controlled substance registration for practitioner. The effective date is May 6, 2019. The expiration date is February 28, 2021. The business address is 1881 Smith St, North Providence, RI 02911-1903. The current status is active.
| Licensee Name | BRENT CADOGAN |
| Credential ID | 1654182 |
| Credential Number | CSP.0070782 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1881 Smith St North Providence RI 02911-1903 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-06 |
| Effective Date | 2019-05-06 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1639031 | 23.004442 | Physician Assistant | 2019-05-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 1881 SMITH ST |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02911-1903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mi Sun Russo · Mi Sun Choi | 1776 Bicennial Way J5, North Providence, RI 02911 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Larissa Gokey | 1776 Bicentennial Way, North Providence, RI 02911 | Registered Nurse | 2018-12-04 ~ 2019-12-31 |
| Rebecca Brabec | 184 Woonasquatucket Ave, North Providence, RI 02911 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Melissa Marie Perrille · Premier Realty Group | 1599 Smith St, North Providence, RI 02911 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Anna Baker | 112 Cottage Ave, North Providence, RI 02911 | Veterinarian | 2020-03-01 ~ 2021-02-28 |
| Phuoc H Tran | 6 Elmore St, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Charlotte Marie Coletta | 56 Bel Air Dr, Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jamie N Tran | 6 Elmore Avenue, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Louis Dante Lanni | 48 Joslin Street, North Providence, RI 02911 | Casino Class I Employee | 2020-01-10 ~ 2020-10-31 |
| Katherine M Kmon | 584 Fruit Hill Avenue, North Providence, RI 02911 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02911 | |||
| City | NORTH PROVIDENCE |
| Zip Code | 02911 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Suozzi | Suite 525, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Brent Baboolal | 21-22 29th Ave, Astoria, NY 11102-3334 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brent J Nielsen | 227 Church St Apt 6h, New Haven, CT 06510-1825 | Controlled Substance Registration for Practitioner | 2008-09-23 ~ 2009-02-28 |
| Brent J Schroeder | 171 Burritt St, Plantsville, CT 06479-1463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brent E Pennington Md | 10 Avalon Dr Apt 3332, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Brent D Wainwright Md | 247 Smith Ridge Rd, South Salem, NY 10570 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Brent Martin Dds | 3461 Chandler Cove Way, Antioch, TN 37013 | Controlled Substance Registration for Practitioner | 2013-10-25 ~ 2015-02-28 |
| Justin Brent Cohen | 999 Franklin Ave, Garden City, NY 11530-2913 | Controlled Substance Registration for Practitioner | 2017-07-07 ~ 2019-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Brent J. Holland | Box 9-b 20 S. Anguilla Rd., Pawcatuck, CT 06379 | Crane Registration | 2005-02-17 ~ 2006-02-16 |
Please comment or provide details below to improve the information on BRENT CADOGAN.
| 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).