DUSTIN P SACCOCCIO
Controlled Substance Registration for Practitioner


Address: 101 W. Broad Street, Pawcatuck, CT 06379

DUSTIN P SACCOCCIO (Credential# 1277401) 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 INACTIVE.

Business Overview

DUSTIN P SACCOCCIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059826. 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 101 W. Broad Street, Pawcatuck, CT 06379. The current status is inactive.

Basic Information

Licensee Name DUSTIN P SACCOCCIO
Credential ID 1277401
Credential Number CSP.0059826
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 W. Broad Street
Pawcatuck
CT 06379
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2015-04-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1275250 23.003311 Physician Assistant 2015-04-13 2018-05-01 - 2019-04-30 INACTIVE

Office Location

Street Address 101 W. Broad Street
City Pawcatuck
State CT
Zip Code 06379

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Vinessa Job 45 Aimee Dr, Pawcatuck, CT 06379 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Rosanne M Giuliano 25 Davis Avenue, Pawcatuck, CT 06379 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Kathleen Lettich 15 Canterbury Lane, Stonington, CT 06379 Behavior Analyst ~
Deanna L. Boileau-gilman 37 William Street, Pawcatuck, CT 06379 Massage Therapist 2020-08-01 ~ 2022-07-31
Stuart A Lamb 40 Lester Ave., Pawcatuck, CT 06379 Optician 2020-09-01 ~ 2021-08-31
Lisa S Dittman · Boyd 302 N Anguilla Rd, Pawcatuck, CT 06379 Physical Therapist 2020-07-01 ~ 2021-06-30
Naomi Gobeille 2 North Broad Street, Pawcatuck, CT 06379 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Sherrie L Theroux 7 Pond View Ct, Pawcatuck, CT 06379 Registered Nurse 2020-08-01 ~ 2021-07-31
Robin R Dana 17 Wilcox Manor, Pawcatuck, CT 06379 Professional Counselor 2020-09-01 ~ 2021-08-31
Sharon Marquis 20 West Enterprise, Pawcatuck, CT 06379 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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Competitor

Search similar business entities

City Pawcatuck
Zip Code 06379
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Pawcatuck

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Dustin D Constant 20 York St, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Dustin J Weiss 33 Cedar St, New Haven, CT 06519-2355 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Robert S Dustin 68 Dearfield Dr, Greenwich, CT 06831 Controlled Substance Registration for Practitioner 1993-05-07 ~ 1995-06-01
Dustin K. Wilde Dmd 1302 S Main St, Waterbury, CT 06706-1748 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Vivy L Dustin 68 Dearfield Drive, Greenwich, CT 06831 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark Saccoccio C/o Saccoccio & Associates Inc, Cranston, RI 02910 Architect 2020-08-01 ~ 2021-07-31
Patricia I Dustin · Dustin 139 Hewitt Road, Mystic, CT 06355 Radiographer 1999-05-26 ~ 2000-06-30
Steven Kassels Md · Community Substance Abuse Center Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 Controlled Substance Registration for Practitioner 2018-06-15 ~ 2019-02-28
Shu-i Lin CT Controlled Substance Registration for Practitioner 2017-06-12 ~ 2019-02-28
Erin K Fee CT Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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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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