CHRISTINE N BREEN PA-C
Controlled Substance Registration for Practitioner


Address: 7 Stebbins Ave, Staten Island, NY 10310-1637

CHRISTINE N BREEN PA-C (Credential# 457860) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CHRISTINE N BREEN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040946. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2011. The expiration date is February 28, 2013. The business address is 7 Stebbins Ave, Staten Island, NY 10310-1637. The current status is inactive.

Basic Information

Licensee Name CHRISTINE N BREEN PA-C
Credential ID 457860
Credential Number CSP.0040946
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7 Stebbins Ave
Staten Island
NY 10310-1637
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-12-12
Effective Date 2011-03-08
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743540 23.001791 Physician Assistant 2006-07-19 2011-01-01 - 2011-12-31 INACTIVE

Office Location

Street Address 7 STEBBINS AVE
City STATEN ISLAND
State NY
Zip Code 10310-1637

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City STATEN ISLAND
Zip Code 10310
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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Dataset Information

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).

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