MICHELLE N BRENES PA (Credential# 897555) 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.
MICHELLE N BRENES PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046787. 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 41 Amanda Cir, Windsor, CT 06095-3466. The current status is active.
| Licensee Name | MICHELLE N BRENES PA |
| Credential ID | 897555 |
| Credential Number | CSP.0046787 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
41 Amanda Cir Windsor CT 06095-3466 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-10-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743157 | 23.001408 | Physician Assistant | 2003-10-15 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 41 AMANDA CIR |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-3466 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonia M Faria | 33 Amanda Cir, Windsor, CT 06095-3466 | Dental Hygienist | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert A Brenes | 4 Research Pkwy, Wallingford, CT 06492-1929 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Veronica Brenes-laroche | 275 Winchester Ave Apt 3271, New Haven, CT 06511-1987 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michelle L Allyn | 40 Rex Rd, Lisbon, CT 06351-2821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Hai | 200 Michelle Ln Apt 303, Groton, CT 06340-4235 | Controlled Substance Registration for Practitioner | 2015-02-12 ~ 2017-02-28 |
| Michelle L Hershman | 865 Mix Ave Apt L4, New Haven, CT 06514-2143 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Michelle A Van Name | 22 Acorn Dr, Bethany, CT 06524-3383 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle R Camano | 75 Burnside Ter, Springfield, MA 01118-2121 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michelle A Cardona | 90 S Main St, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle R Wisniewski | 62 S Olmstead Ln, Ridgefield, CT 06877-5529 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michelle M West | 18 W Main St, Clinton, CT 06413-2053 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on MICHELLE N BRENES PA.
| 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).