JOHN F D'AMICO DPM
Controlled Substance Registration for Practitioner


Address: 187 North Main St, Wallingford, CT 06492

JOHN F D'AMICO DPM (Credential# 152621) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

JOHN F D'AMICO DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009090. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 187 North Main St, Wallingford, CT 06492. The current status is inactive.

Basic Information

Licensee Name JOHN F D'AMICO DPM
Credential ID 152621
Credential Number CSP.0009090
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 187 North Main St
Wallingford
CT 06492
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
698736 19.000034 Podiatrist 1979-09-10 2016-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 187 NORTH MAIN ST
City WALLINGFORD
State CT
Zip Code 06492

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Ann Marie Richardson 20 Mohawk Drive, Wallingford, CT 06492 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD

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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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