BRIAN N LANDRY
Controlled Substance Registration for Practitioner


Address: 144 Chesterwood Terrace, Southington, CT 06489

BRIAN N LANDRY (Credential# 222189) 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.

Business Overview

BRIAN N LANDRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028903. 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 144 Chesterwood Terrace, Southington, CT 06489. The current status is active.

Basic Information

Licensee Name BRIAN N LANDRY
Credential ID 222189
Credential Number CSP.0028903
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 144 Chesterwood Terrace
Southington
CT 06489
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-06-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
742708 23.000959 Physician Assistant 2000-05-17 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 144 CHESTERWOOD TERRACE
City SOUTHINGTON
State CT
Zip Code 06489

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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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Dataset Information

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).

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