JOHN G BRENNER (Credential# 1002654) 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.
JOHN G BRENNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050485. 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 2112 Avalon Dr, Shelton, CT 06484-4462. The current status is active.
| Licensee Name | JOHN G BRENNER |
| Credential ID | 1002654 |
| Credential Number | CSP.0050485 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2112 Avalon Dr Shelton CT 06484-4462 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 621955 | 10.E52990 | Registered Nurse | 1990-09-06 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 994402 | 12.004678 | Advanced Practice Registered Nurse | 2011-06-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John G Brenner | 2 North Main Street Apt P-219, Beacon Falls, CT 06403 | Emergency Medical Responder | ~ 1993-04-01 |
| John G Brenner | 24 Dell Dale Road, Fairfield, CT 06824 | Notary Public Appointment | 2008-04-23 ~ 2013-04-30 |
| Street Address | 2112 Avalon Dr |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4462 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jocelyn Stone | 7 Acadia Ln Unit 2209, Shelton, CT 06484-4462 | Behavior Analyst | 2020-03-16 ~ 2020-11-30 |
| Amandeep Singh | 7 Acadia Ln Ph 1403, Shelton, CT 06484-4462 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bethaney B Brenner | 8 Milford St, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cary Brenner | 147 Grassy Plain St, Bethel, CT 06801-2806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lois M Brenner Pa-c | 12 East 86 St Apt 1230, New York, NY 10028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bruce M Brenner | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| John M De Figueiredo | Po Box 573, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John P Salerno | P.o. Box 848, Fairfield, CT 06824-6541 | Controlled Substance Registration for Practitioner | 2019-12-19 ~ 2021-02-28 |
| John W Mah Md | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Lum | 4-6 Union Ave #20, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John P Kim Md | 25 Lajoie Ln, Milford, CT 06461-2411 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on JOHN G BRENNER.
| 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).