BRITTANY L PROVENZANO (Credential# 1459454) 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.
BRITTANY L PROVENZANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067055. 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 6 Williamsburg Dr, Monroe, CT 06468-2507. The current status is active.
| Licensee Name | BRITTANY L PROVENZANO |
| Credential ID | 1459454 |
| Credential Number | CSP.0067055 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Williamsburg Dr Monroe CT 06468-2507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 589808 | 10.085806 | Registered Nurse | 2008-07-23 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1442732 | 12.007356 | Advanced Practice Registered Nurse | 2017-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 6 WILLIAMSBURG DR |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rita D O'neill | 18 Williamsburg Dr, Monroe, CT 06468-2507 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Jack J Esteves | 24 Williamsburg Dr, Monroe, CT 06468-2507 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany M Dewolf | 12 Utz Dr, Oakdale, CT 06370-1736 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brittany M Kraft | 319 Jefferson St, Centerport, NY 11721-1332 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sam Malkinson | 46 Brittany Farms Rd #331, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Brittany Katz | 1 Theall Road, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2020-06-26 ~ 2021-02-28 |
| Hyuna Lee | 395 Brittany Farms Rd Apt 421, New Britain, CT 06053-1159 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ryu Yoshida | 395 Brittany Farms Rd Apt 436, New Britain, CT 06053-1172 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brittany Strebig | 299 Colt Hwy Apt 532, Farmington, CT 06032-3095 | Controlled Substance Registration for Practitioner | 2019-10-28 ~ 2021-02-28 |
| Brittany A Banning | 121 Burnham Rd, Lebanon, CT 06249-1403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brittany A Florin | 58 Longview Ave, Fairfield, CT 06824-6119 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BRITTANY L PROVENZANO.
| 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).