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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1275250 | 23.003311 | Physician Assistant | 2015-04-13 | 2018-05-01 - 2019-04-30 | INACTIVE |
Street Address | 101 W. Broad Street |
City | Pawcatuck |
State | CT |
Zip Code | 06379 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 06379 |
City | Pawcatuck |
Zip Code | 06379 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Pawcatuck |
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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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).