MARY BRENNAN-CENTRELLA (Credential# 353848) 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.
MARY BRENNAN-CENTRELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034328. 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 102 W Ridge Ln, Isle La Motte, VT 05463-6701. The current status is active.
| Licensee Name | MARY BRENNAN-CENTRELLA |
| Credential ID | 353848 |
| Credential Number | CSP.0034328 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
102 W Ridge Ln Isle La Motte VT 05463-6701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-11-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678886 | 12.000704 | Advanced Practice Registered Nurse | 1993-03-02 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 618600 | 10.E49308 | Registered Nurse | 1986-09-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 102 W RIDGE LN |
| City | ISLE LA MOTTE |
| State | VT |
| Zip Code | 05463-6701 |
| City | ISLE LA MOTTE |
| Zip Code | 05463 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ISLE LA MOTTE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward N Brennan Md | Topping Rd, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Bruce T Brennan Md | 22 Westfield Ave, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean Brennan Pa | 360 Bloomfield Ave Ste 209, Windsor, CT 06095-2700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy E Brennan | 330 Western Boulevard, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Brennan | 140 Sherman Street, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Brennan Pa · Rustine | 45 Belinsky Cir, Oxford, CT 06478-2711 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean J Brennan | 20 Blanket Meadow Rd, Monroe, CT 06468-1098 | Controlled Substance Registration for Practitioner | 2015-06-10 ~ 2017-02-28 |
| Elizabeth V Brennan | 4575 Congress St, Fairfield, CT 06824-1724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Brennan | 162 Babcock Hill Rd, South Windham, CT 06266-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren E Brennan | 263 Farmington Ave, Farmington, CT 06032-1956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY BRENNAN-CENTRELLA.
| 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).