VIVIANA BENITEZ (Credential# 1439916) 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.
VIVIANA BENITEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066442. 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 133 Winchester St, Brookline, MA 02446-2762. The current status is active.
| Licensee Name | VIVIANA BENITEZ |
| Credential ID | 1439916 |
| Credential Number | CSP.0066442 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
133 Winchester St Brookline MA 02446-2762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1416773 | 1.056752 | Physician/Surgeon | 2017-07-28 | 2019-05-01 - 2020-04-30 | ACTIVE |
| Street Address | 133 WINCHESTER ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-2762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiru Chen Zhao | 1131 Beacon, Brookline, MA 02446 | Genetic Counselor | ~ |
| Joseph T Geller | 221 Winchester Street, Brookline, MA 02446 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin A Lynch | 66 Marshal St, Brookline, MA 02446 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christine Ogonowski | 219 Fuller St, Brookline, MA 02446 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jewish Women's Archive Inc | 1 Harvard Street Ste 200, Brookline, MA 02446 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Noah J Yoskowitz | 22 Parkman Street, Brookline, MA 02446 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Fedaa Najdawi | 133 Park Street, Apt 1203, Brookline, MA 02446 | Physician/surgeon | ~ |
| Kenneth P Grossman Md | 73 Mason Terrace, Brookline, MA 02446 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Erik J Biggart | 19 Winchester St, Brookline, MA 02446 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Andrew N Coppo | 130 Fuller Street #5, Brookline, MA 02446 | Notary Public Appointment | 2010-03-09 ~ 2014-11-30 |
| Find all Licenses in zip 02446 | |||
| City | BROOKLINE |
| Zip Code | 02446 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLINE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge Benitez | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jorge Lopez Benitez Md | 25203 Town Walk Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Carlos Benitez | 22 Horizon Drive, Norwalk, CT 06854 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-04-01 ~ 2021-03-31 |
| Benitez Bros LLC | 224 Broad St, Windsor, CT 06095 | Home Improvement Contractor | 2005-05-13 ~ 2005-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on VIVIANA BENITEZ.
| 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).