MATTHEW PAONESSA
Controlled Substance Registration for Practitioner


Address: 136 Palmer Ave Ste 111, Mamaroneck, NY 10543-3639

MATTHEW PAONESSA (Credential# 1499333) 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

MATTHEW PAONESSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067623. 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 136 Palmer Ave Ste 111, Mamaroneck, NY 10543-3639. The current status is active.

Basic Information

Licensee Name MATTHEW PAONESSA
Credential ID 1499333
Credential Number CSP.0067623
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 136 Palmer Ave Ste 111
Mamaroneck
NY 10543-3639
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-03-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1414170 1.057084 Physician/Surgeon 2017-10-02 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 136 PALMER AVE STE 111
City MAMARONECK
State NY
Zip Code 10543-3639

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Competitor

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City MAMARONECK
Zip Code 10543
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAMARONECK

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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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