MARY M KANE-BROCK MD (Credential# 186139) 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.
MARY M KANE-BROCK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026062. 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 71 Dandy Drive, Cos Cob, CT 06807. The current status is active.
| Licensee Name | MARY M KANE-BROCK MD |
| Credential ID | 186139 |
| Credential Number | CSP.0026062 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
71 Dandy Drive Cos Cob CT 06807 |
| 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 | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552600 | 1.035005 | Physician/Surgeon | 1995-12-15 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 71 Dandy Drive |
| City | COS COB |
| State | CT |
| Zip Code | 06807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary G Brock · Guion | 385 W Main St, Avon, CT 06001-4357 | Controlled Substance Registration for Practitioner | 2019-05-17 ~ 2021-02-28 |
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana Brock Md | 160 Tokeneke Dr, N Haven, CT 06473 | Controlled Substance Registration for Practitioner | 1994-08-17 ~ 1996-07-01 |
| Brock F Daniels | 91 Lyon St Apt 1, New Haven, CT 06511-4925 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brock Drapkin | 84 Walpole St, Canton, MA 02021 | Controlled Substance Registration for Practitioner | 2019-02-28 ~ 2021-02-28 |
| Dana Brock | 38 Orchard Court, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John L Kane Md | 228 Broadway, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Bryan G Kane Md | 550 Prospect St #10, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-01-07 ~ 2003-02-28 |
| Arnold A Lim M.d. | 80 Kane St Apt D2, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Colleen P Stoddart | 90 Kane St Apt B3, West Hartford, CT 06119-2114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY M KANE-BROCK MD.
| 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).