PAUL J FASANO
Controlled Substance Registration for Practitioner


Address: 344 Gay Street, Sharon, CT 06069

PAUL J FASANO (Credential# 150392) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

PAUL J FASANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012845. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 344 Gay Street, Sharon, CT 06069. The current status is inactive.

Basic Information

Licensee Name PAUL J FASANO
Credential ID 150392
Credential Number CSP.0012845
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 344 Gay Street
Sharon
CT 06069
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
701134 2.005712 Dentist 1980-04-02 2004-01-05 - 2004-12-31 INACTIVE

Office Location

Street Address 344 GAY STREET
City SHARON
State CT
Zip Code 06069

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Competitor

Search similar business entities

City SHARON
Zip Code 06069
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHARON

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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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