BRIAN D PERVIS (Credential# 1228167) 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.
BRIAN D PERVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057326. 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 900 Straits Turnpike, Middlebury, CT 06762. The current status is active.
| Licensee Name | BRIAN D PERVIS |
| Credential ID | 1228167 |
| Credential Number | CSP.0057326 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
900 Straits Turnpike Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 672649 | 11.028847 | Licensed Practical Nurse | 2001-11-26 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1226606 | 12.005745 | Advanced Practice Registered Nurse | 2014-06-10 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 593231 | 10.089229 | Registered Nurse | 2009-07-07 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 840387 | 70.000652 | Emergency Medical Technician | 2000-07-21 | 2002-02-11 - 2004-03-31 | INACTIVE |
| Street Address | 900 Straits Turnpike |
| City | Middlebury |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerard Y Ltaif | 900 Straits Turnpike, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Cornerstone of Eagle Hill Inc. · Cornerstone Continuous Care of Middlebry | 900 Straits Turnpike, Middlebury, CT 06762 | Psychiatric Outpatient Clinic | ~ 2001-06-30 |
| Conversion Data · Cornerstone Continuous Care | 900 Straits Turnpike, Middlebury, CT 0606482 | Substance Abuse | ~ 1999-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | Middlebury |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middlebury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon D Pervis | 170 Norton Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian J Solomon | 21 May Ct, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
| Brian T Fletcher Md | 497 3rd Ave Apt 9, New York, NY 10016-4854 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian M Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian L Karasic | Po Box 819, Eatontown, NJ 07724-0819 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brian Moy | 24 Park Pl Apt 8h, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BRIAN D PERVIS.
| 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).