BRAD DYLAN BROOKS (Credential# 1650516) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRAD DYLAN BROOKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070681. The credential type is controlled substance registration for practitioner. The effective date is April 22, 2019. The expiration date is February 28, 2021. The business address is 28 Troy Street, West Hartford, CT 06119. The current status is active.
| Licensee Name | BRAD DYLAN BROOKS |
| Credential ID | 1650516 |
| Credential Number | CSP.0070681 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
28 Troy Street West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-22 |
| Effective Date | 2019-04-22 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1352908 | CSP.0062720 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1528928 | 1.062168-DO | Physician/Surgeon | 2018-12-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1489387 | 1.058593-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 28 Troy Street |
| City | West Hartford |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | West Hartford |
| Zip Code | 06119 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brad L Cottle Dmd | 302 Cot Hwy #23, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2004-02-17 ~ 2005-02-28 |
| Dylan F Davey | 544 George St # 3, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-15 |
| Dylan Ryan | 74 Derby St, Dracut, MA 01826-3921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dylan Jones | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brad G Schmeling Pa | 149 Elm St Apt #3, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Brad Oren | 111 East Ave Ste 335, Norwalk, CT 06851-5014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brad Joonschik Yoo | 372 Forest Ln, Glastonbury, CT 06033-3922 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brad A Heim Dmd | 36 Welles St, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dylan J Plante | 32 Patricia Lane, Thomaston, CT 06787 | Controlled Substance Registration for Practitioner | 2019-12-16 ~ 2021-02-28 |
| Dylan Malloy | 75 Loomis Dr, West Hartford, CT 06107-2015 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BRAD DYLAN BROOKS.
| 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).