MARIA BRENNAN (Credential# 191215) 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.
MARIA BRENNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026395. 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 162 Babcock Hill Rd, South Windham, CT 06266-1104. The current status is active.
| Licensee Name | MARIA BRENNAN |
| Credential ID | 191215 |
| Credential Number | CSP.0026395 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
162 Babcock Hill Rd South Windham CT 06266-1104 |
| 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 |
|---|---|---|---|---|---|
| 679933 | 12.001754 | Advanced Practice Registered Nurse | 1998-01-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 618235 | 10.E48902 | Registered Nurse | 1986-09-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 162 BABCOCK HILL RD |
| City | SOUTH WINDHAM |
| State | CT |
| Zip Code | 06266-1104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heidi A Gallen | 186 Babcock Hill Rd, South Windham, CT 06266-1104 | Registered Nurse | 2017-12-01 ~ 2018-11-30 |
| Stephen D Gallen · Mitered Edge Woodworking | 186 Babcock Hill Rd, South Windham, CT 06266-1104 | Home Improvement Contractor | 2017-02-02 ~ 2017-11-30 |
| John Gallen Iv | 186 Babcock Hill Rd, South Windham, CT 06266-1104 | Emergency Medical Technician | 2014-04-15 ~ 2017-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steve Harris | Po Box 15, South Windham, CT 06266 | Medication Administration Certification | 2020-08-12 ~ 2022-08-11 |
| Claire L Dobrolet | 130 Babcock Hill Rd, South Windham, CT 06266 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ajit J Kokkat | 150 Mansfield Ave, Suite B, Willimantic, CT 06266 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Timothy B Cormier | 21 Old Windham Road, South Windham, CT 06266 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Donna Kervin | 32 Type Road, South Windham, CT 06266 | Notary Public Appointment | 2015-02-19 ~ 2020-02-28 |
| Kristin M Dancosse | 12 Type Rd, South Windham, CT 06266 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| American Legion Dugout Club | Crackow Drive, Willimantic, CT 06266 | Club Liquor | 2019-09-25 ~ 2021-01-24 |
| Paula M Haney | Machine Shop Hl, South Windham, CT 06266 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Aria Webb | 127 Babcock Hill Road, South Windham, CT 06266 | Medication Administration Certification | 2020-04-21 ~ 2022-04-21 |
| Vasilios Papathanasiou · Acropolis Home Improvement | 1114 Windham Rd, South Windham, CT 06266 | Home Improvement Contractor | 2020-03-30 ~ 2020-11-30 |
| Find all Licenses in zip 06266 | |||
| City | SOUTH WINDHAM |
| Zip Code | 06266 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sean Brennan Pa | 360 Bloomfield Ave Ste 209, Windsor, CT 06095-2700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward N Brennan Md | Topping Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Bruce T Brennan Md | 22 Westfield Ave, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy E Brennan | 330 Western Boulevard, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Brennan Pa · Rustine | 45 Belinsky Cir, Oxford, CT 06478-2711 | 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 |
| Elizabeth V Brennan | 4575 Congress St, Fairfield, CT 06824-1724 | 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 |
| Mary Brennan-centrella | 102 W Ridge Ln, Isle La Motte, VT 05463-6701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren E Brennan | 263 Farmington Ave, Farmington, CT 06032-1956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).