KIM C BROWNELL MD (Credential# 338705) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.
KIM C BROWNELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033526. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 105 19th Ave Ne, Saint Petersburg, FL 33704-4530. The current status is inactive.
| Licensee Name | KIM C BROWNELL MD |
| Credential ID | 338705 |
| Credential Number | CSP.0033526 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
105 19th Ave Ne Saint Petersburg FL 33704-4530 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2003-05-29 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559037 | 1.041454 | Physician/Surgeon | 2003-05-13 | 2016-10-01 - 2017-09-30 | INACTIVE |
| Street Address | 105 19TH AVE NE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33704-4530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen D Brownell | 105 19th Ave Ne, Saint Petersburg, FL 33704-4530 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wynne R Shapiro | 1265 Snell Isle Blvd Ne, Saint Petersburg, FL 33704 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kenneth E Baker Md | 1120 16th Ave N, St. Petersburg, FL 33704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michele Jeanne Beaulieu | 1325 Snell Isle Blvd Ne, St. Petersburg, FL 33704 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Sara E Bartolomeo | 130 20th Ave. N., Saint Petersburg, FL 33704 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Alan M Mckeithen | 3712 Foster Hill Dr N, St Petersburg, FL 33704 | Professional Engineer | 1997-05-28 ~ 1998-01-31 |
| Cecilia T Vestergaard · Balboni | 1532 Brightwaters Blvd North East, St. Petersburg, FL 33704 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| National Law Enforcement Sports Federation Ltd Inc. | 1140 37th Avenue, Ne, St. Petersburg, FL 33704 | Public Charity | 2005-10-01 ~ 2006-05-31 |
| Missing Children America Votcc Inc. | 2800 4th Street North, #191, St. Petersburg, FL 33704 | Public Charity | ~ |
| Adam H Waite | 3310 1st St. North, St. Peterburg, FL 33704 | Registered Nurse | 2008-12-22 ~ 2009-10-31 |
| Daphne G Allen · Hallas | 1001-21 Ave N, St Petersburg, FL 33704 | Registered Nurse | 2001-07-03 ~ 2002-04-30 |
| Find all Licenses in zip 33704 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33704 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAINT PETERSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dana Brownell | Po Box 209, Westport, CT 06881 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qiheng J Shen Md | 111 Brownell St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-05-22 ~ 2002-02-28 |
| Jamille Ann Rancourt | 60 Brownell Street, New Haven, CT 06511-4010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy R Brownell · Tim Brownell | 2548 Long Hill Rd, Guilford, CT 06437 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Brownell Associates LLC | 52 Pomfret St, Putnam, CT 06260-1821 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KIM C BROWNELL 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).