CHRISTINE N BREEN PA-C (Credential# 457860) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
CHRISTINE N BREEN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040946. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2011. The expiration date is February 28, 2013. The business address is 7 Stebbins Ave, Staten Island, NY 10310-1637. The current status is inactive.
Licensee Name | CHRISTINE N BREEN PA-C |
Credential ID | 457860 |
Credential Number | CSP.0040946 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
7 Stebbins Ave Staten Island NY 10310-1637 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-12-12 |
Effective Date | 2011-03-08 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743540 | 23.001791 | Physician Assistant | 2006-07-19 | 2011-01-01 - 2011-12-31 | INACTIVE |
Street Address | 7 STEBBINS AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10310-1637 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junaid Aslam | 511 Delafield Ave, Staten Island, NY 10310 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
John B Zunino | 684 Oakland Avenue, Staten Island, NY 10310 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Salman Kazim | 355 Bard Avenue, #5q, Staten Island, NY 10310 | Physician/surgeon | 1995-08-11 ~ 1996-07-31 |
Thomas E Wallace IIi | 616 Bement Ave, Staten Island, NY 10310 | Pharmacy Intern | 2017-08-22 ~ 2020-09-30 |
Sandra F Graydon-long | 117 Bement Avenue, Staten Island, NY 10310 | Master's Level Social Worker | 2016-05-01 ~ 2017-04-30 |
Lars T Ahlman | 33 Clove Lake Pl, Staten Island, NY 10310 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
Christopher W Torres | 134 Dongan Street, Staten Island, NY 10310 | Tv & Radio Limited Dish Antenna Technician | 2010-02-18 ~ 2010-08-31 |
Sudath G Rannulu | 355 Bard Avenue, Staten Island, NY 10310 | Physician/surgeon | 2009-01-13 ~ 2009-12-31 |
Ralph G Attanasi | 821 Clove Road, Staten Island, NY 10310 | Dentist | 2007-12-24 ~ 2008-12-31 |
Rene A Mathews | 672 Gary Avenue, Staten Island, NY 10310 | Lead Abatement Worker | 2000-04-21 ~ 2001-06-30 |
Find all Licenses in zip 10310 |
City | STATEN ISLAND |
Zip Code | 10310 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeanette Breen Lnm | 2395 Harrison Ave, Baldwin, NY 11510 | Controlled Substance Registration for Practitioner | ~ 2000-02-28 |
Michael Joseph Breen | 2720 State St Apt 4, Hamden, CT 06517-2237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David Breen Lomasney | 11132 76th Ave Apt 5b, Forest Hills, NY 11375-6403 | Controlled Substance Registration for Practitioner | 2019-06-06 ~ 2021-02-28 |
Christine G Shupenis | Po Box 339, Bantam, CT 06750-0339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine H Won Md | Po Box 208057, New Haven, CT 06520-8057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine C Wasmer Dvm | 243 Goshen Rd, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 2021-02-28 |
Christine J Gessay | 92 Arnott Rd, Manchester, CT 06040-4529 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine H Oha Aprn | 905 Marble Dr, Naples, FL 34104-0818 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Christine L Vetter | 293 Bayberry Ln, Westport, CT 06880-1314 | Controlled Substance Registration for Practitioner | 2020-01-30 ~ 2021-02-28 |
Christine N Muniz | 727 Honeyspot Rd, Stratford, CT 06615-7172 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).