ANTHONY M PETRILLI
Controlled Substance Registration for Practitioner


Address: 166 Niantic River Rd, Waterford, CT 06385

ANTHONY M PETRILLI (Credential# 148684) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

ANTHONY M PETRILLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007618. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 166 Niantic River Rd, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name ANTHONY M PETRILLI
Credential ID 148684
Credential Number CSP.0007618
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 166 Niantic River Rd
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
699708 2.003151 Dentist 1956-08-01 1998-06-24 - 1999-08-31 INACTIVE
741568 22.003151 Dental Anesthesia/Conscious Sedation Permit 1988-04-01 1999-05-03 - 1999-04-30 INACTIVE

Office Location

Street Address 166 NIANTIC RIVER RD
City WATERFORD
State CT
Zip Code 06385

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Competitor

Search similar business entities

City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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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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