BRANDON W KO (Credential# 948020) 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 LAPSED.
BRANDON W KO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048533. 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 Po Box 3845, Chinle, AZ 86503. The current status is lapsed.
| Licensee Name | BRANDON W KO |
| Credential ID | 948020 |
| Credential Number | CSP.0048533 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 3845 Chinle AZ 86503 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2010-10-08 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 592716 | 10.088714 | Registered Nurse | 2009-05-20 | 2017-04-01 - 2018-03-31 | INACTIVE |
| 946558 | 12.004416 | Advanced Practice Registered Nurse | 2010-07-30 | 2017-04-01 - 2018-03-31 | INACTIVE |
| Street Address | PO Box 3845 |
| City | Chinle |
| State | AZ |
| Zip Code | 86503 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morgan Elt Schopen Lnm | Po Box 3845, Chinle, AZ 86503-3845 | Licensed Nurse Midwife | 2017-06-01 ~ 2018-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla B Smith | Phs Housing, Chinle, AZ 86503 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Colin A Gershon | Colin Gershon, Chinle, AZ 86503 | Advanced Practice Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Christine M Just | C/o Midwives, Chinle, AZ 86503 | Registered Nurse | 1992-01-23 ~ 1993-01-31 |
| Andrea L Cuff Aprn | Po Box 2209, Chinle, AZ 86503 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephan Stellmacher | Po Box 1715, Chinle, AZ 86503 | Physician/surgeon | 2001-06-04 ~ 2002-07-31 |
| Barry J Tils | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1994-11-21 ~ 1996-01-31 |
| Eileen T Furman | P O Box 220, Chinle, AZ 86503 | Registered Nurse | 1994-10-31 ~ 1995-12-31 |
| Ellen Marqusee | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1993-09-23 ~ 1994-10-31 |
| Nurit Harari | Po Box 2209, Chinle, AZ 86503-2209 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| City | Chinle |
| Zip Code | 86503 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Chinle |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon Tibbitts | 113 Elm St Ste 304, Enfield, CT 06082-3739 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brandon M Duncan | 425 Sunshine Rd, Brownsville, TX 78521-1633 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brandon H Mcknight | 8 Haley Ln, Litchfield, CT 06759-2810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brandon D Lawrence | 126 Oldfield Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brandon R Mancini | 39 Ives St Unit 504, Hamden, CT 06518-2240 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brandon Zakary Erdos | 285 River St, Newton, MA 02465-1437 | Controlled Substance Registration for Practitioner | 2019-01-30 ~ 2021-02-28 |
| Brandon C Yarns | 930 Palm Ave Apt 220, West Hollywood, CA 90069-4050 | Controlled Substance Registration for Practitioner | 2015-05-12 ~ 2017-02-28 |
| Brandon-luke L Seagle | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-15 |
| Brandon M Kitay | 184 Liberty Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brandon Roth | 20 York St Tompkins 226, New Haven, CT 06510-3220 | 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).