GLEN STUART BROOKS (Credential# 2013387) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GLEN STUART BROOKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073269. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2020. The expiration date is February 28, 2021. The business address is 83 Jonquil Ln, Longmeadow, MA 01106-2240. The current status is active.
| Licensee Name | GLEN STUART BROOKS |
| Credential ID | 2013387 |
| Credential Number | CSP.0073269 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
83 Jonquil Ln Longmeadow MA 01106-2240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-02 |
| Effective Date | 2020-03-02 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427533 | 1.056880 | Physician/Surgeon | 2017-08-16 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 83 JONQUIL LN |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-2240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lois C Brooks | 83 Jonquil Ln, Longmeadow, MA 01106-2240 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randi Katz | 33 Jonquil Ln, Longmeadow, MA 01106-2240 | Pharmacy Intern | 2020-05-08 ~ 2020-09-30 |
| Randi L Katz | 33 Jonquil Ln, Longmeadow, MA 01106-2240 | Pharmacist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stuart R Sugarman | 2c Talcott Glen, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1995-01-31 ~ 1996-02-28 |
| Christopher C Moore | 116 Brooks Rd, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leif E Petterson | 945 Brooks Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vanessa K Romero | 108 Brooks Rd, Middletown, CT 06457-5704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marc A Diberardino Dvm | 275 Brooks Rd, Bethany, CT 06524-3605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John C Mc Nerney | 111 Four Brooks Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2000-03-20 ~ 2001-02-28 |
| Stuart R Epstein Dds | 4 Dearfield Dr, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stuart J Klein | 227 Church St Apt 6a, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Stuart M Deglin | 220 Canterbury Tpk, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stuart G Lehrman Md | 6 Canterbury Ct, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 1993-02-10 ~ 1995-03-01 |
Please comment or provide details below to improve the information on GLEN STUART BROOKS.
| 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).