JOANNE M BROCCOLI APRN (Credential# 209270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JOANNE M BROCCOLI APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027850. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 4415 Se Haig Point Ct, Stuart, FL 34997-5677. The current status is inactive.
Licensee Name | JOANNE M BROCCOLI APRN |
Credential ID | 209270 |
Credential Number | CSP.0027850 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4415 Se Haig Point Ct Stuart FL 34997-5677 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
680171 | 12.001993 | Advanced Practice Registered Nurse | 1999-01-01 | 2016-02-01 - 2017-01-31 | INACTIVE |
643405 | 10.R41256 | Registered Nurse | 1987-04-01 | 2016-02-01 - 2017-01-31 | INACTIVE |
Street Address | 4415 SE HAIG POINT CT |
City | STUART |
State | FL |
Zip Code | 34997-5677 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia T Cruser | 5662 Se Laguna Ave, Stuart, FL 34997 | Pharmacist | 2020-06-04 ~ 2022-01-31 |
Sara L Alves | 6531 Se Federal Hwy, Stuart, FL 34997 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
Jessica Lee | 6015 Se Riverboat Dr, Stuart, FL 34997 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Rebecca Marie Della-pietra | 4296 Se Cove Lake Circle, Stuart, FL 34997 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
James B Sperry | 14 Overlook Drive, Madison, CT 34997 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Donna Philpot | 2625 Sw Olds Pl, Stuart, FL 34997 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Stanley A Cardinal | 4590 S.e Quail Trail, Stuart, FL 34997 | Notary Public Appointment | 2017-10-01 ~ 2022-09-30 |
Michael A Ricci | 6655 Se Raintree Ave, Stuart, FL 34997 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
Pamela Davidson | 6360 Winged Foot Drive, Stuart, FL 34997 | Physical Therapist | 2010-01-01 ~ 2010-12-31 |
Rhoda L Owren | 5145 Se Miles Grant Ter, Stuart, FL 34997 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
Find all Licenses in zip 34997 |
City | STUART |
Zip Code | 34997 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STUART |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joanne Cantor Friedman Aprn | 41 Reservoir Rd, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joanne Ascione Aprn | 1102 Pleasant St, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2013-03-26 ~ 2015-02-28 |
Joanne Rieben Md | 32-44 208 St, Bayside, NY 11361 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Joanne Thompson Md | 22 Wood Rd, Redding, CT 06896-1615 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Joanne M Melia | 158 Oxbow Rd, Higganum, CT 06441-4012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joanne Angiello Md | 38b Grove St, Ridgefield, CT 06877-4665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joanne Nachtygal Pa-c | 29 Putnam Grn Apt F, Greenwich, CT 06830-6058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joanne Gardner Ms | 27 Marboy Dr, Plantsville, CT 06479-1517 | 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).