AMBER BRODY (Credential# 1679341) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 25, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMBER BRODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072064. The credential type is controlled substance registration for practitioner. The effective date is July 25, 2019. The expiration date is February 28, 2021. The business address is 249 Danbury Rd, Wilton, CT 06897-4010. The current status is active.
| Licensee Name | AMBER BRODY |
| Credential ID | 1679341 |
| Credential Number | CSP.0072064 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
249 Danbury Rd Wilton CT 06897-4010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-25 |
| Effective Date | 2019-07-25 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1511209 | 1.061935-DO | Physician/Surgeon | 2018-09-19 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 249 DANBURY RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-4010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Radin Md | 249 Danbury Rd, Wilton, CT 06897-4010 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Pamela J Randolph Md | 249 Danbury Rd, Wilton, CT 06897-4010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig D Serin Md | 249 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claudia B Gruss | 249 Danbury Rd, Wilton, CT 06897-4075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erica R Seebeck | 249 Danbury Rd, Wilton, CT 06897-4010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amber L Dawson | 67 Amber Ln, Southington, CT 06489-1097 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Oren Brody | 22 Cheshire Dr, Longmeadow, MA 01106-2133 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Steven M Brody | 23 Maple Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brody A Flanagin | 432 Central Avenue #3, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Karen H Brody Md | 2435 Bedford Street, Stamford, CT 06905-3934 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard L Brody Md | St. Francis Emergency Medical Group, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Brody O'sullivan | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amber L Bowell Pa | 33 Mechanic St 107, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Amber R Morra | 19 Carriage Way, Johnston, RI 02919-1913 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amber M Irimia | 47 Squadron Line Rd, Simsbury, CT 06070-1644 | 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).