BETHANY C GLEASON (Credential# 1239242) 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.
BETHANY C GLEASON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058452. 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 30 Laurel Glen Dr, Shelton, CT 06484-3649. The current status is active.
| Licensee Name | BETHANY C GLEASON |
| Credential ID | 1239242 |
| Credential Number | CSP.0058452 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Laurel Glen Dr Shelton CT 06484-3649 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 593270 | 10.089268 | Registered Nurse | 2009-07-08 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1238040 | 12.005843 | Advanced Practice Registered Nurse | 2014-08-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 844092 | 70.004359 | Emergency Medical Technician | 2003-12-22 | 2010-06-14 - 2013-03-31 | INACTIVE |
| 874763 | 71.000767 | Advanced Emergency Medical Technician | 2006-10-12 | 2007-10-04 - 2010-06-30 | INACTIVE |
| Street Address | 30 LAUREL GLEN DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-3649 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon M Gleason | 30 Laurel Glen Dr, Shelton, CT 06484-3649 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Denise Loomis | 30 Laurel Glen Dr, Shelton, CT 06484-3649 | Physical Therapist | 2017-09-01 ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jianchao Xu Md | 79 Bethany Farms Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edmund F Caporaso | 15 Bethany Woods Rd, Bethany, CT 06524-3103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan J Gleason | 6 Obed Heights Rd, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul F Gleason | 42 Lower Cross Rd, Greenwich, CT 06831-3002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan Maureen Gleason | 75 Forest Ave, Fairfield, CT 06824-6530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen E Gleason Aprn | 106 Grennan Road, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michelle A Van Name | 22 Acorn Dr, Bethany, CT 06524-3383 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jian Wu Pa | 32 Miller Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Victor D Calhoun | 61 Ann Dr, Bethany, CT 06524-3133 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine A Jackson Vmd | 782 Amity Rd, Bethany, CT 06524-3082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).