JOSEPH O COGGUILLO JR
Controlled Substance Registration for Practitioner


Address: P.o. Box 5185, Milford, CT 06460

JOSEPH O COGGUILLO JR (Credential# 151626) 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

JOSEPH O COGGUILLO JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005557. 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 P.o. Box 5185, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name JOSEPH O COGGUILLO JR
Credential ID 151626
Credential Number CSP.0005557
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address P.o. Box 5185
Milford
CT 06460
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
699841 2.003401 Dentist 1960-07-01 2003-09-05 - 2004-07-31 INACTIVE

Office Location

Street Address P.O. BOX 5185
City MILFORD
State CT
Zip Code 06460

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Competitor

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City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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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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