GREGORY L BRADEN (Credential# 181909) 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.
GREGORY L BRADEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025578. 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 2150 Main St, Springfield, MA 01104-3566. The current status is active.
| Licensee Name | GREGORY L BRADEN |
| Credential ID | 181909 |
| Credential Number | CSP.0025578 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2150 Main St Springfield MA 01104-3566 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553310 | 1.035717 | Physician/Surgeon | 1996-11-29 | 2019-02-01 - 2020-01-31 | ACTIVE |
| Street Address | 2150 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3566 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Mulhern | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jacqueline A Connor | 2150 Main St, Springfield, MA 01104-3566 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Anthony E Poindexter | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eli Mckenna-weiss | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel L Landry | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael H O'shea | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jiuming Ye Md | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Marat Abdullin | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Arley F Diaz | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Roy Stillerman | 2150 Main St, Springfield, MA 01104 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
| Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
| Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
| Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
| Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
| Find all Licenses in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daphne Braden | 46 W Avon Rd, Unionville, CT 06085-1164 | Controlled Substance Registration for Practitioner | 2015-08-18 ~ 2017-02-28 |
| Shivanna V Kumar Md | 9232 S Braden Pl, Tulsa, OK 74137-4031 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Noreen Haseeb | 2800 Braden Ave Apt 216, Modesto, CA 95356-0659 | Controlled Substance Registration for Practitioner | ~ |
| Abigail Elizabeth Braden | 44 Orange St Apt 218, New Haven, CT 06510-3131 | Controlled Substance Registration for Practitioner | 2020-06-23 ~ 2021-02-28 |
| Matthew Braden Burns Miller | 12 Somerset Ln, Old Lyme, CT 06371-1737 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Gregory T. Lee | 8 Spruce St Apt 33f, New York, NY 10038-5224 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gregory J Lyddy Dds | 55 Elm St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Gregory M Gressel | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gregory R Czarnecki Do | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony N Gregory | 249 Bashford Rd, Valatie, NY 12184-3805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).