BRIANNE F. BLUMENTHAL
Controlled Substance Registration for Practitioner


Address: 55 Peaceful Valley Rd, Trumbull, CT 06611-1615

BRIANNE F. BLUMENTHAL (Credential# 1053468) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

BRIANNE F. BLUMENTHAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052024. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 55 Peaceful Valley Rd, Trumbull, CT 06611-1615. The current status is inactive.

Basic Information

Licensee Name BRIANNE F. BLUMENTHAL
Credential ID 1053468
Credential Number CSP.0052024
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 Peaceful Valley Rd
Trumbull
CT 06611-1615
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-04-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1053134 1.050703 Physician/Surgeon 2012-03-14 2012-11-01 - 2013-10-31 INACTIVE

Office Location

Street Address 55 PEACEFUL VALLEY RD
City TRUMBULL
State CT
Zip Code 06611-1615

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Competitor

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City TRUMBULL
Zip Code 06611
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL

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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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