BRIAN M ULLMAN (Credential# 1239126) 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 M ULLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058442. 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 130 Division Street, Derby, CT 06418. The current status is active.
| Licensee Name | BRIAN M ULLMAN |
| Credential ID | 1239126 |
| Credential Number | CSP.0058442 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
130 Division Street Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1235732 | 12.005837 | Advanced Practice Registered Nurse | 2014-08-06 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 586247 | 10.082245 | Registered Nurse | 2007-07-03 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 130 Division Street |
| City | Derby |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara E Altieri | 130 Division Street, Derby, CT 06418 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| James E Schmidt | 130 Division Street, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jahnavi Kalidindi | 130 Division Street, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sotonte Ebenibo | 130 Division Street, Derby, CT 06418 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Bassam Choudhry | 130 Division Street, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2015-03-12 ~ 2017-02-28 |
| Griffin Hospital Development Fund Inc. | 130 Division Street, Derby, CT 06418 | Public Charity-exempt From Financial Requirements | ~ |
| Pain Research and Education Foundation Inc | 130 Division Street, Derby, CT 06418 | Public Charity | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | Derby |
| Zip Code | 06418 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren M Ullman | 256 Edwards St Apt 4, New Haven, CT 06511-3738 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian L Karasic | Po Box 819, Eatontown, NJ 07724-0819 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | 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 J Solomon | 21 May Ct, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian Moy | 24 Park Pl Apt 8h, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BRIAN M ULLMAN.
| 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).