JOSEPH J FERTUCCI
Controlled Substance Registration for Practitioner


Address: 58 Clover Hill Lane, Ossining, NY 10562

JOSEPH J FERTUCCI (Credential# 1086309) 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.

Business Overview

JOSEPH J FERTUCCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053396. 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 58 Clover Hill Lane, Ossining, NY 10562. The current status is active.

Basic Information

Licensee Name JOSEPH J FERTUCCI
Credential ID 1086309
Credential Number CSP.0053396
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 58 Clover Hill Lane
Ossining
NY 10562
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-08-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
704439 2.009987 Dentist 2009-01-08 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 58 Clover Hill Lane
City Ossining
State NY
Zip Code 10562

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Tiffany Marie Barrett 16 Maria Lane, Ossining, NY 10562 Registered Nurse 2019-01-01 ~ 2019-12-31
Lucia Conte 40 Stone Ave., Ossining, NY 10562 Dental Hygienist 2020-08-01 ~ 2021-07-31
Lisa M Coglitore 1 Harbor Square, Ossining, NY 10562 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Samantha Weldon 125-2 South Highland Avenue, Ossining, NY 10562 Registered Nurse 2020-05-27 ~ 2020-11-30
Maria Magdalena Sanchez 21 Sunset Drive, Ossining, NY 10562 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
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Competitor

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City Ossining
Zip Code 10562
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ossining

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Dataset Information

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).

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