BRIAN J WOOLEY
Controlled Substance Registration for Practitioner


Address: 301 Spruce St, Southport, CT 06890-1402

BRIAN J WOOLEY (Credential# 1359728) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

BRIAN J WOOLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063087. The credential type is controlled substance registration for practitioner. The effective date is April 18, 2019. The expiration date is February 28, 2021. The business address is 301 Spruce St, Southport, CT 06890-1402. The current status is active.

Basic Information

Licensee Name BRIAN J WOOLEY
Credential ID 1359728
Credential Number CSP.0063087
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 301 Spruce St
Southport
CT 06890-1402
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-06-16
Effective Date 2019-04-18
Expiration Date 2021-02-28
Refresh Date 2019-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1430981 2.011844 Dentist 2017-06-28 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 301 SPRUCE ST
City SOUTHPORT
State CT
Zip Code 06890-1402

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Peter H Ventriglia 60 Chester Pl, Southport, CT 06890 Real Estate Salesperson 2020-06-16 ~ 2021-05-31
Jennifer Adell Efstathiou 237 Woodrow Avenue, Southport, CT 06890 Esthetician ~
Brenda L Vanfleet 160 Range Rd, Southport, CT 06890 Dental Hygienist 2020-06-01 ~ 2021-05-31
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Competitor

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City SOUTHPORT
Zip Code 06890
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT

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Dataset Information

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).

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