CAROLYN J BROWN (Credential# 922639) 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.
CAROLYN J BROWN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047450. 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 16 Keighley Pond Road, Middle Haddam, CT 06456-0136. The current status is active.
Licensee Name | CAROLYN J BROWN |
Credential ID | 922639 |
Credential Number | CSP.0047450 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
16 Keighley Pond Road Middle Haddam CT 06456-0136 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-04-07 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
892532 | 12.004271 | Advanced Practice Registered Nurse | 2009-12-07 | 2019-12-01 - 2020-11-30 | ACTIVE |
621999 | 10.E53034 | Registered Nurse | 1990-09-06 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 16 KEIGHLEY POND ROAD |
City | MIDDLE HADDAM |
State | CT |
Zip Code | 06456-0136 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John Joseph Muskatallo | 32 Keighley Pond Road, Middle Haddam, CT 06456 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Stephanie Fuss | 19 High Point Drive, Middle Haddam, CT 06456 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Pamela J Hatfield | 37 Fern Lane, Middle Haddam, CT 06456 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Amy M Howard | 145 Middle Haddam Road, Middle Haddam, CT 06456 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Gabriella Watstein | 33 Fern Ln, Middle Haddam, CT 06456 | Registered Sanitarian | 2020-05-01 ~ 2021-04-30 |
Patricia A Foust-day | 139 Middle Haddam Rd, Middle Haddam, CT 06456 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Judith A Keefe | P.o. Box 147, Middle Haddam, CT 06456 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Katherine M Grant | 5 Knowles Rd, Middle Haddam, CT 06456 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Maryann G Meehl | 39 High Point Drive, Middle Haddam, CT 06456 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Shawn J France II | 36 Middle Haddam Rd, Middle Haddam, CT 06456 | Home Improvement Salesperson | 2018-12-27 ~ 2019-11-30 |
Find all Licenses in zip 06456 |
City | MIDDLE HADDAM |
Zip Code | 06456 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLE HADDAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carolyn Swain Dds | Po Box 482, Fairfield, CT 06824-0482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Carolyn R Blicharz Dmd | Po Box 222, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carolyn M Ray Md | 6 Clermont Park, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carolyn Fetzer Dmd | 100 Butternut Ln, Southington, CT 06489-3860 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Carolyn J Murray Md | 12 Maple St, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
Carolyn K Mcgrath Md | 300 Front St #107, Pawtucket, RI 02868 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Carolyn K Mccourt Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Carolyn L Stegall | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Carolyn J Vitale | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Carolyn Winters | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).