ANTHONY FAUSTINI
Controlled Substance Registration for Practitioner


Address: 108 Brownstone Drive, Southington, CT 06489

ANTHONY FAUSTINI (Credential# 1262761) 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

ANTHONY FAUSTINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059240. 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 108 Brownstone Drive, Southington, CT 06489. The current status is active.

Basic Information

Licensee Name ANTHONY FAUSTINI
Credential ID 1262761
Credential Number CSP.0059240
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 108 Brownstone Drive
Southington
CT 06489
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-01-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1250582 1.053707 Physician/Surgeon 2014-11-25 2019-08-01 - 2020-07-31 ACTIVE
497089 PCT.0010955 PHARMACIST 2008-05-23 2012-02-01 - 2014-01-31 INACTIVE
394009 PCI.0005438 PHARMACY INTERN 2005-01-12 2005-01-12 - 2008-09-30 INACTIVE
847684 70.007951 Emergency Medical Technician 2006-11-14 2006-11-14 - 2008-06-30 INACTIVE

Office Location

Street Address 108 Brownstone Drive
City SOUTHINGTON
State CT
Zip Code 06489

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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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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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