YVONNE D FASONE PA
Controlled Substance Registration for Practitioner


Address: 167 Anderson Rd, Sprakers, NY 12166-4301

YVONNE D FASONE PA (Credential# 161713) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

YVONNE D FASONE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021613. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 167 Anderson Rd, Sprakers, NY 12166-4301. The current status is inactive.

Basic Information

Licensee Name YVONNE D FASONE PA
Credential ID 161713
Credential Number CSP.0021613
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 167 Anderson Rd
Sprakers
NY 12166-4301
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
741802 23.000053 Physician Assistant 1993-07-09 2009-10-01 - 2010-09-30 INACTIVE

Office Location

Street Address 167 ANDERSON RD
City SPRAKERS
State NY
Zip Code 12166-4301

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Maria L Schwarz 570 Rappa Road, Sprakers, NY 12166 Pharmacist 2005-02-01 ~ 2006-01-31
Thomas P Cone 731 S Green Rd, Sprakers, NY 12166-1816 Fire Protection Unlimited Journeyperson ~
Raymond N Mcwayne 467 Flat Creek Rd, Sprakers, NY 12166-4533 Heating, Piping & Cooling Limited Journeyperson 2019-09-01 ~ 2020-08-31

Competitor

Search similar business entities

City SPRAKERS
Zip Code 12166
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRAKERS

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Yvonne J Sinclair Md 233 Virgo Drive, Groton, CT 06340-2448 Controlled Substance Registration for Practitioner 2002-03-01 ~ 2003-02-28
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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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