MIECHELLE L O'BRIEN (Credential# 531133) 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.
MIECHELLE L O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045432. 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 Po Box 405, Waccabuc, NY 10597-0405. The current status is active.
| Licensee Name | MIECHELLE L O'BRIEN |
| Credential ID | 531133 |
| Credential Number | CSP.0045432 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 405 Waccabuc NY 10597-0405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565032 | 1.047450 | Physician/Surgeon | 2009-03-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | PO BOX 405 |
| City | WACCABUC |
| State | NY |
| Zip Code | 10597-0405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Briar Lea Dent | 14 Chapel Road, Waccabuc, NY 10597 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher S Johnson | P.o. Box 96, Waccabuc, NY 10597 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Erin J Murray | 12 Post Office Road, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| John Samios | 24 Waccabuc River Ln, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lia Grasso | 24 Waccabuc River Lane, Waccabuc, NY 10597 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mag Real Estate Advisors Inc | 36 East Ridge Road, Waccabuc, NY 10597 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Kevin J Burke | 81 East Ridge Road, Waccabuc, NY 10597 | Notary Public Appointment | 2019-12-01 ~ 2024-11-30 |
| Linda Broudy | 81 Post Office Road, Waccabuc, NY 10597 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Mary T Dipaola | 24 Schoolhouse Road, Waccabuc, NY 10597 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Chariclia L Grasso | P O Box 454, Waccabuc, NY 10597 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 10597 | |||
| City | WACCABUC |
| Zip Code | 10597 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WACCABUC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica D O'brien | Suffern, NY 10901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kerrie A O'brien | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | ~ |
| Daniel P O'brien | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael O'brien | 4 Jackson St, Beacon, NY 12508-3453 | Controlled Substance Registration for Practitioner | 2020-06-22 ~ 2021-02-28 |
| Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James C O'brien Md | 730 Farmington Ave, W Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elisa A O'brien | 17 Woods Ave, Greenwich, CT 06831-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K O'brien | 60 Temple St Ste 5a, New Haven, CT 06510-2716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Danielle M O'brien | 22 Clifdon Dr, Simsbury, CT 06070-1263 | Controlled Substance Registration for Practitioner | 2019-08-08 ~ 2021-02-28 |
| Kevin T O'brien Dmd | 295 Washington Ave, Hamden, CT 06518-3025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).