DANA BROCK MD (Credential# 152663) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 17, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.
DANA BROCK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008963. The credential type is controlled substance registration for practitioner. The effective date is August 17, 1994. The expiration date is July 1, 1996. The business address is 160 Tokeneke Dr, N Haven, CT 06473. The current status is inactive.
Licensee Name | DANA BROCK MD |
Credential ID | 152663 |
Credential Number | CSP.0008963 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
160 Tokeneke Dr N Haven CT 06473 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 1994-08-17 |
Expiration Date | 1996-07-01 |
Refresh Date | 2009-01-26 |
Street Address | 160 TOKENEKE DR |
City | N HAVEN |
State | CT |
Zip Code | 06473 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
Find all Licenses in zip 06473 |
City | N HAVEN |
Zip Code | 06473 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + N HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dana Brock | 38 Orchard Court, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Brock Drapkin | 84 Walpole St, Canton, MA 02021 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
Brock F Daniels | 91 Lyon St Apt 1, New Haven, CT 06511-4925 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Mary G Brock · Guion | 385 W Main St, Avon, CT 06001-4357 | Controlled Substance Registration for Practitioner | 2019-05-17 ~ 2021-02-28 |
Mary M Kane-brock Md | 71 Dandy Drive, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana Brownell | Po Box 209, Westport, CT 06881 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana Loo Md | 142 Everit St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Dana L Martini Do | 333 John St, Pittsburgh, PA 15227 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Dana J Clapsaddle | 16 Stonegate Rd, Ossining, NY 10562-3939 | 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).