MALLORY S BREITMAIER (Credential# 1131539) 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.
MALLORY S BREITMAIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053979. 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 32 Farm Gate Rd, Colchester, CT 06415-2622. The current status is active.
| Licensee Name | MALLORY S BREITMAIER |
| Credential ID | 1131539 |
| Credential Number | CSP.0053979 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
32 Farm Gate Rd Colchester CT 06415-2622 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-11-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 994824 | 10.100110 | Registered Nurse | 2011-06-15 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1125661 | 12.005210 | Advanced Practice Registered Nurse | 2012-11-02 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 32 FARM GATE RD |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-2622 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maura Catherine Powers | 33 Farm Gate Rd, Colchester, CT 06415-2622 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Daniel J Julian | 40 Farm Gate Rd, Colchester, CT 06415-2622 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Stephen C Brouillet | 14 Farm Gate Rd, Colchester, CT 06415-2622 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Jordan Reska | 25 Farm Gate Rd, Colchester, CT 06415-2622 | Emergency Medical Technician | 2016-01-27 ~ 2018-09-30 |
| Jerri K Ridley | 17 Farm Gate Rd, Colchester, CT 06415-2622 | Massage Therapist | 2016-09-01 ~ 2018-08-31 |
| Evan D Bertrand | 28 Farm Gate Rd, Colchester, CT 06415-2622 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Teresa A Donahue | 24 Farm Gate Rd, Colchester, CT 06415-2622 | Professional Engineer | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Lee Mallory | 141 Way Rd, Salem, CT 06420-3716 | Controlled Substance Registration for Practitioner | 2019-07-03 ~ 2021-02-28 |
| Mallory Iverson | 192 E Center St, Manchester, CT 06040-5210 | Controlled Substance Registration for Practitioner | ~ |
| Mallory M Przybylski | 150 Front St, New Haven, CT 06513-3929 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory Logsdon | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Raburn Mallory Md | 41 Barrett Street, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-11 ~ 2003-02-28 |
| Mallory Grosso | 515 West Ave Apt Ph38, Norwalk, CT 06850-4047 | Controlled Substance Registration for Practitioner | 2019-01-23 ~ 2021-02-28 |
| Joseph Farah | 64 Mallory Road, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mallory M Macdonald Aprn | 43 Pillsbury Hill, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Robert Mallory · Robert Mallory-builders | 70 Town Hill Rd, New Hartford, CT 06057 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Please comment or provide details below to improve the information on MALLORY S BREITMAIER.
| 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).