BRIAN L BEAULIEU MD (Credential# 288339) 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.
BRIAN L BEAULIEU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031506. 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 Griffin Faculty Physicians, Derby, CT 06047. The current status is active.
| Licensee Name | BRIAN L BEAULIEU MD |
| Credential ID | 288339 |
| Credential Number | CSP.0031506 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Griffin Faculty Physicians Derby CT 06047 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-11-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557571 | 1.039988 | Physician/Surgeon | 2001-11-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | Griffin Faculty Physicians |
| City | Derby |
| State | CT |
| Zip Code | 06047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick J Hamilton | 184 Maskel Rd, South Windsor, CT 06047 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Matthew Rivas | 128 Hillard St, Winchester Ct, CT 06047 | Medication Administration Certification | ~ |
| Michael Heller · Icl | 100 Roscommon Dr, Middletown, CT 06047 | Repairer of Weighing & Measuring Devices | ~ 1995-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| April M Wali · Edwards | 70 Pine St, Derby, CT 06418-2333 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Find all Licenses in Derby | |||
| City | Derby |
| Zip Code | 06047 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jamie L Beaulieu | 51 Brettonwood Dr, Simsbury, CT 06070-1488 | Controlled Substance Registration for Practitioner | 2020-01-29 ~ 2021-02-28 |
| Danielle L Beaulieu | 121 Fenton Rd, Monson, MA 01057-9616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary C Beaulieu | 131 Boston Post Rd Ste 4, Waterford, CT 06385-2839 | Controlled Substance Registration for Practitioner | 2019-04-03 ~ 2021-02-28 |
| Kimberly Beaulieu | 98 Gardner Tavern Road, Coventry, CT 06238-6100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian T Fletcher Md | 497 3rd Ave Apt 9, New York, NY 10016-4854 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brian M Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BRIAN L BEAULIEU MD.
| 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).