TERESA B BRAVO MD (Credential# 418695) 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.
TERESA B BRAVO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038431. 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 E Hope Street, Stamford, CT 06906. The current status is active.
| Licensee Name | TERESA B BRAVO MD |
| Credential ID | 418695 |
| Credential Number | CSP.0038431 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
17 E Hope Street Stamford CT 06906 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561510 | 1.043928 | Physician/Surgeon | 2005-11-09 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 17 E Hope Street |
| City | Stamford |
| State | CT |
| Zip Code | 06906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jufen Wang | 256 Hope Street, Stamford, CT 06906 | Nail Technician | ~ |
| Soon Ja Eom | 26 Parker Ave # 2, Stamford, CT 06906 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katarzyna Zawadzki | 51 Norman Rd, Stamford, CT 06906 | Esthetician | ~ |
| Rebecca Theresa Mack | 76 Hope Street Apt B, Stamford, CT 06906 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Paramount Stone Inc | 338 Courtland Ave, Stamford, CT 06906 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Zesheng Jin | 301 Hope St, Stamford, CT 06906 | Nail Technician | 2020-06-17 ~ 2022-01-31 |
| Sherry A Twardy | 109 Courtland Hill Street, Stamford, CT 06906 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Chintan Patel · Crazy Grapes | 491 Hope St, Stamford, CT 06906 | Package Store Liquor | 2020-07-18 ~ 2021-07-17 |
| Cosmo J Iadanza | 251 Hope Street, Stamford, CT 06906 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Laura D Nardi | 96 Pine Tree Dr., Stamford, CT 06906 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06906 | |||
| City | Stamford |
| Zip Code | 06906 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adrianna M Bravo Md | 251 Canaan Rd, Salisbury, CT 06068 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose J Bravo | 2649 Main St Apt C6, Bridgeport, CT 06606-5333 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa M Love Dvm | 451 River Rd, Willington, CT 06279-1332 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Teresa A Martinez | 198 Brookdale Rd, Stamford, CT 06903-4130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa T Lee Md | 1 Goodwin Place, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa Bremner Md | 19 Locust Ln, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Teresa L Smith | 13 Egypt Ln, Clinton, CT 06413-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa Sheetz | 17 Southridge Rd, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa L D'errico | 234a Bank St, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TERESA B BRAVO 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).