DOMINICK P AGOSTIN (Credential# 152347) 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.
DOMINICK P AGOSTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002993. 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 15 Old Ridgefield Rd, Wilton, CT 06897. The current status is active.
| Licensee Name | DOMINICK P AGOSTIN |
| Credential ID | 152347 |
| Credential Number | CSP.0002993 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Old Ridgefield Rd Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 700537 | 2.004584 | Dentist | 1973-07-21 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 15 OLD RIDGEFIELD RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominick C Mariconda Pa | 32 Elizabeth St, Guilford, CT 06437-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dominick F Roto II | 145 Westford Rd., Eastford, CT 06242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dominick P Artuso | 80 Beecher Drive, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 1993-09-16 ~ 1995-06-01 |
| Dominick A Giordano | 21 Sherman Court, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher Dominick Thomas | 7035 Windfield Ct, Grand Blanc, MI 48439-9440 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dominick Perez · Dominick Construction | 26 High St, Stamford, CT 06902 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on DOMINICK P AGOSTIN.
| 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).