JOSEPH R POLIDORO
Controlled Substance Registration for Practitioner


Address: P.o. Box 256, Colebrook, CT 06021

JOSEPH R POLIDORO (Credential# 147270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

JOSEPH R POLIDORO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008356. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is P.o. Box 256, Colebrook, CT 06021. The current status is inactive.

Basic Information

Licensee Name JOSEPH R POLIDORO
Credential ID 147270
Credential Number CSP.0008356
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address P.o. Box 256
Colebrook
CT 06021
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
540453 1.012699 Physician/Surgeon 1966-09-30 2004-03-01 - 2005-01-31 INACTIVE
158000 CSP.0020741 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-11-23 - 1996-12-01 INACTIVE

Office Location

Street Address P.O. Box 256
City Colebrook
State CT
Zip Code 06021

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Competitor

Search similar business entities

City Colebrook
Zip Code 06021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Colebrook

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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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