BRETT M ZUCKMAN
Controlled Substance Registration for Practitioner


Address: 141 Southport Ter, Southport, CT 06890-1493

BRETT M ZUCKMAN (Credential# 2060416) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2020. The license expiration date date is February 28, 2021. The license status is APPROVED.

Business Overview

BRETT M ZUCKMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074693. The credential type is controlled substance registration for practitioner. The effective date is June 25, 2020. The expiration date is February 28, 2021. The business address is 141 Southport Ter, Southport, CT 06890-1493. The current status is approved.

Basic Information

Licensee Name BRETT M ZUCKMAN
Credential ID 2060416
Credential Number CSP.0074693
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 141 Southport Ter
Southport
CT 06890-1493
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2020-06-25
Effective Date 2020-06-25
Expiration Date 2021-02-28
Refresh Date 2020-06-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1155982 CSP.0054435 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-04-01 2019-03-01 - 2021-02-28 ACTIVE
1194662 22.008479 Dental Anesthesia/Conscious Sedation Permit 2014-11-20 2019-12-01 - 2020-11-30 ACTIVE
1146440 2.010923 Dentist 2013-03-14 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 141 SOUTHPORT TER
City SOUTHPORT
State CT
Zip Code 06890-1493

Licenses in the same zip code

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Alexander Esposito 312 High Meadow Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Christina Muller 243 Sturbridge Lane, Southport, CT 06890 Licensed Clinical Social Worker ~
Carmen R Weber 45 Split Rock Road, Southport, CT 06890 Dietitian/nutritionist 2020-09-01 ~ 2021-08-31
Cher A Anderson 10 Anvil Road, Southport, CT 06890 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Christal L T Rodenhiser 193 Osborne Ln, Southport, CT 06890 Registered Nurse 2020-08-01 ~ 2021-07-31
David S Parker P.o. Box 491, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Peter H Ventriglia 60 Chester Pl, Southport, CT 06890 Real Estate Salesperson 2020-06-16 ~ 2021-05-31
Jennifer Adell Efstathiou 237 Woodrow Avenue, Southport, CT 06890 Esthetician ~
Brenda L Vanfleet 160 Range Rd, Southport, CT 06890 Dental Hygienist 2020-06-01 ~ 2021-05-31
John S Brice 71 Old Post Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06890

Competitor

Search similar business entities

City SOUTHPORT
Zip Code 06890
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT

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Brett J Hiendlmayr 80 Seymour St, Hartford, CT 06102-8000 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Brett L Wasserlauf 35 Jolley Dr Ste 301, Bloomfield, CT 06002-3062 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Dataset Information

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).

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