MATTHEW P BRENNAN (Credential# 1333323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MATTHEW P BRENNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055111. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 136 Copperridge Dr, Brandon, MS 39042-3700. The current status is active.
Licensee Name | MATTHEW P BRENNAN |
Credential ID | 1333323 |
Credential Number | 1.055111 |
Credential Type | Physician/Surgeon |
Business Address |
136 Copperridge Dr Brandon MS 39042-3700 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-04-01 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-05-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
511146 | CSP.0044212 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
1242457 | CSP.0058619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-02 | 2016-04-02 - 2017-02-28 | INACTIVE |
387155 | CSP.0036629 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-26 | 2004-04-05 - 2006-02-28 | INACTIVE |
1036639 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION | |
429638 | CSP.0038829 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
Street Address | 136 COPPERRIDGE DR |
City | BRANDON |
State | MS |
Zip Code | 39042-3700 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Valerie A Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Burel Pharmaceuticals, Inc | 20 Eastgate Drive, Brandon, MS 39042 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-12-19 ~ |
Cheryl Marsh Aprn | 305 Faith Way, Brandon, MS 39042 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
Real Pure Beverage Group LLC · Realpure Beverage Grp LLC | 2015 Highpointe Dr, Brandon, MS 39042 | Non-alcoholic Beverage & Water Bottlers | 2004-07-01 ~ 2005-06-30 |
Melissa K Moore · Stapleton | 911 Lake Drive, Brandon, MS 39042 | Registered Nurse | 2004-02-23 ~ 2005-03-31 |
Sonya R Froelich | 154 Post Hill Road, Brandon, MS 39042 | Registered Nurse | 2005-06-01 ~ 2006-06-30 |
Mary L Mccornell | 115 Evergreen Drive, Brandon, MS 39042 | Registered Nurse | 2004-04-30 ~ 2004-10-26 |
Chelee Massey | 619 Gulde Shiloh Rd, Brandon, MS 39042 | Registered Nurse | 2002-09-18 ~ 2003-08-31 |
Fs Assoc Inc | 303 Hand Dr, Brandon, MS 39042 | Home Improvement Contractor | ~ 1995-09-01 |
Bobby Clanton · Fs Assoc Inc C/r | 303 Hand Dr, Brandon, MS 39042 | Home Improvement Contractor | ~ 1995-08-01 |
William W South | 115 Linwood Dr, Brandon, MS 39042-2349 | Heating, Piping & Cooling Limited Journeyperson | 2016-09-01 ~ 2017-08-31 |
Find all Licenses in zip 39042 |
City | BRANDON |
Zip Code | 39042 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas G Brennan Jr | 52 Cotswold Way, Avon, CT 06001 | Physician/surgeon | 1996-12-04 ~ 1998-01-31 |
Gillian Brennan | 1330 1st Ave. Apt 418, New York, NY 10021 | Physician/surgeon | 2008-09-09 ~ 2009-03-31 |
Paige J Brennan | 55 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Troyen A Brennan | 40 Union Park, Boston, MA 02118 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joseph J Brennan Jr | 374 Bartlett Drive, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Edmund J Brennan | 299 Forest Ridge Rd, Waterbury, CT 06708 | Physician/surgeon | 2003-03-12 ~ 2004-03-31 |
Sharon A Jaeger · Brennan | 2318 Sumac Circle, Woodbury, MN 55125 | Physician/surgeon | 1995-09-11 ~ 1996-09-30 |
R P Brennan | General Contractors & Construction, New York, NY 10013 | Major Contractor | ~ |
Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).