BROOKE J SAMUELSON APRN (Credential# 420745) 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.
BROOKE J SAMUELSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038509. 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 90 Joshua Trail, Madison, CT 06443. The current status is active.
| Licensee Name | BROOKE J SAMUELSON APRN |
| Credential ID | 420745 |
| Credential Number | CSP.0038509 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
90 Joshua Trail Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 576976 | 10.072972 | Registered Nurse | 2004-03-09 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 681503 | 12.003325 | Advanced Practice Registered Nurse | 2005-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 90 Joshua Trail |
| City | Madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie F Kissel | 90 Joshua Trail, Madison, CT 06443 | Registered Nurse | 1994-10-04 ~ 1995-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | Madison |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brooke E Fleit Aprn | 14 Stonewall Way, Durham, NH 03824-4410 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Richard J Krajewski Aprn | 231 Brooke Meadow Rd, Kensington, CT 06037-2807 | Controlled Substance Registration for Practitioner | 2011-02-03 ~ 2013-02-28 |
| Brooke Joseph-banks Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-01-30 |
| Eleanor A Berry Md · C/o Robert Samuelson | 134 Grandview Ave Suite #210, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke E Albright | 900 Chapel St Apt 221, New Haven, CT 06510-2818 | Controlled Substance Registration for Practitioner | 2011-03-24 ~ 2013-02-28 |
| Brooke E Gouveia | 208 Newridge Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke F Henderson Pa-c | 24 Ash Dr, Gales Ferry, CT 06335-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke M Giddings Pac | 259 Oakville Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 1999-04-13 ~ 2000-02-28 |
| Katlin Brooke Povich | 750 Quinnipiac Ave Apt 3, New Haven, CT 06513-3367 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke Laura Duffany | 25 Avalon Ave, Oakville, CT 06779-2001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BROOKE J SAMUELSON APRN.
| 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).