BRENDAN R MCMULLEN (Credential# 1196074) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
BRENDAN R MCMULLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056438. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2575 S 850 E, Angola, IN 46703-9226. The current status is inactive.
| Licensee Name | BRENDAN R MCMULLEN |
| Credential ID | 1196074 |
| Credential Number | CSP.0056438 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2575 S 850 E Angola IN 46703-9226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-11-30 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772903 | 47.003229 | Veterinarian | 2007-02-06 | 2014-08-01 - 2015-07-31 | INACTIVE |
| 866187 | 70.940406 | Emergency Medical Technician | 1994-01-01 | 2001-04-02 - 2003-04-01 | INACTIVE |
| 833208 | 69.920761 | Emergency Medical Responder | 1992-07-11 | - 1994-07-01 | INACTIVE |
| Street Address | 2575 S 850 E |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-9226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheila Walterhouse | 2006 Buell Drive, Angola, IN 46703 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Duke Imports Inc | 1105 Williams St, Angola, IN 46703-1213 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Halie Virginia Dawson | 3121 W Shady Side Rd Lot 27, Angola, IN 46703-7028 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Cassidy Keller | 1435 S 450 W, Angola, IN 46703-8674 | Elevator Limited Conveyor Journeyperson | 2018-12-11 ~ 2019-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen A Herlan | 61 Summerdale Rd, Angola, NY 14006-9027 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Terrance Wasielewski | 780 Bennett Rd, Angola, NY 14006-8834 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Lynn R Hyde | 156 Grove St, Angola, NY 14006 | Crane Operator | 2014-11-17 ~ 2016-11-16 |
| Jason Clark | 8720 N Main St, Angola, NY 14006-9603 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Randall Vincek | 9389 Lemon Street, Angola, NY 14006 | Physical Therapist | 1998-10-12 ~ 1999-11-30 |
| Aaron Kanner | 61 Middle Ln, Angola, NY 14006-9064 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Christine Vincek | 9389 Lemon Street, Angola, NY 14006 | Physical Therapist | 1998-07-13 ~ 1999-08-31 |
| City | ANGOLA |
| Zip Code | 46703 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANGOLA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan N Mcmullen Md | Ambulatory Anesthesia Assoc, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Brendan M Collins | 129 Woodland St Apt 4, Hartford, CT 06105-1218 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brendan P Ruby | 140 Elliott St, Beaufort, SC 29902-5218 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brendan M Rogers | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brendan Jackson | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brendan T Campbell Md | 282 Washington St#2g Surgery, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brendan Dolan | 152 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brendan O'connell Md | 915 Main Street, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2009-06-04 ~ 2011-02-28 |
| Brendan James Smyth | 1 Howe St, New Haven, CT 06511-5473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brendan P Coleman Md | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
Please comment or provide details below to improve the information on BRENDAN R MCMULLEN.
| 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).