NIKKI B BRADLEY (Credential# 428528) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
NIKKI B BRADLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038796. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1925 Waycrest Drive Sw Apt5311, Atlanta, GA 30331. The current status is inactive.
| Licensee Name | NIKKI B BRADLEY |
| Credential ID | 428528 |
| Credential Number | CSP.0038796 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1925 Waycrest Drive Sw Apt5311 Atlanta GA 30331 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-08 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561676 | 1.044094 | Physician/Surgeon | 2006-02-14 | 2013-10-01 - 2014-09-30 | INACTIVE |
| Street Address | 1925 Waycrest Drive SW apt5311 |
| City | Atlanta |
| State | GA |
| Zip Code | 30331 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharneise Samone Simmons | 6929 Talkeeta Ct Sw, Atlanta, GA 30331 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Tiffany Joy Chappelle | 7131 Smithers Way Sw, Atlanta, GA 30331 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Sharonda J Andress | 2737 Deerwood Ln., Atlanta, GA 30331 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Stephen A Dawkins | 3 Cascade Rd, Atlanta, GA 30331 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Stokely Van Camp Inc | 1650 Westgate Parkway, Atlanta, GA 30331 | Non-alcoholic Beverage & Water Bottlers | 1997-02-25 ~ 1997-06-30 |
| Zuri Virgnia Myres | 1225 Fairburn Rd Sw, Atlanta, GA 30331 | Registered Nurse - Temporary | 2017-02-06 ~ 2017-06-05 |
| Sheree C Lambert | 725 Maycroft Knoll Sw, Atlanta, GA 30331 | Registered Nurse - Temporary | 2015-09-03 ~ 2015-12-31 |
| Monikan Wilson | 1925 Waycrest Dr. Apt. 5105, Atlanta, GA 30331 | Registered Nurse - Temporary | 2014-09-19 ~ 2015-01-16 |
| Marion V Miller-wood | 920 Forest Overlook Trail, Atlanta, GA 30331 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Tammy C Flucas | 2150 Datona Dr., Atlanta, GA 30331 | Respiratory Care Practitioner | 2004-09-22 ~ 2005-09-30 |
| Find all Licenses in zip 30331 | |||
| City | Atlanta |
| Zip Code | 30331 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Atlanta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nikki Allmendinger | 282 Washington St 41t Education Dept, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Ann M Oberkirch Md | 1 Bradley Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Peter A Ryg | 150 Bradley St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Bradley S Peterson Md | 61 Rt 138, Somers, NY 10589 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Bradley J. Lawson | Ste B, Owasso, OK 74055 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| William Schreiber Md | 1 Bradley Rd Ste 709, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William S Long Md | 255 Bradley St, New Haven, CT 06510-1105 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-17 |
| John B Mckee Md | 255 Bradley St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sarah K Bezek | 185 Bradley St Apt 1r, New Haven, CT 06511-6203 | Controlled Substance Registration for Practitioner | 2010-01-27 ~ 2011-02-28 |
| Elizabeth P Bradley Md | 32 Judge Rd, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on NIKKI B BRADLEY.
| 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).