JOANNA F BREUNIG PA (Credential# 243204) 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.
JOANNA F BREUNIG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030167. 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 17 Beech Tree Hill Road, Shelton, CT 06484. The current status is active.
| Licensee Name | JOANNA F BREUNIG PA |
| Credential ID | 243204 |
| Credential Number | CSP.0030167 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
17 Beech Tree Hill Road Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-10-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742443 | 23.000694 | Physician Assistant | 1998-01-02 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 17 BEECH TREE HILL ROAD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanna Fabris | 163 Franklin St Apt 307, Stamford, CT 06901-1041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joanna D Thomas | 60 Garden St Apt A, Farmington, CT 06032-2206 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joanna E Marlowe | 11 Woodland Dr, Woodbridge, CT 06525-2539 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joanna White | 143 W State St, Granby, MA 01033-9701 | Controlled Substance Registration for Practitioner | 2019-05-22 ~ 2021-02-28 |
| Joanna Verhoest Pa | 23 Calvin Rd, Newton, MA 02460-2104 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joanna Ghobrial | 554 Massachusetts Ave Apt 2, Boston, MA 02118-1402 | Controlled Substance Registration for Practitioner | ~ |
| Joanna I Grzadziel | 115 Pythian Ave, Torrington, CT 06790-3714 | Controlled Substance Registration for Practitioner | ~ |
| Joanna Chin | 492 Massachusetts Ave Apt 61, Boston, MA 02118-1150 | Controlled Substance Registration for Practitioner | 2015-03-12 ~ 2017-02-28 |
| Joanna M Morel | 36 Russett Ln, Middletown, CT 06457-5836 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joanna Jakubowska Md | 15 Suffield Ct, Cheshire, CT 06410 | 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).