ANDREA T FOSSATI MD (Credential# 188138) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.
ANDREA T FOSSATI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026121. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 25 Old Mountain Rd, Farmington, CT 06032. The current status is inactive.
| Licensee Name | ANDREA T FOSSATI MD |
| Credential ID | 188138 |
| Credential Number | CSP.0026121 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Old Mountain Rd Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2000-02-29 |
| Expiration Date | 2001-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553095 | 1.035502 | Physician/Surgeon | 1996-08-23 | 1999-04-27 - 2000-04-30 | INACTIVE |
| Street Address | 25 OLD MOUNTAIN RD |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annette B Moranda Dds | 25 Old Mountain Rd, Farmington, CT 06032 | Dentist | 2004-02-25 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Chelsea Lee | 56 Dickinson Rd, Haddam, CT 06438-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Katz | 750 Quinnipiac Ave Apt 4, New Haven, CT 06513-3367 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Maura D'andrea | 19 Ozone Rd, Branford, CT 06405-5509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L M Silber Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Woods | 112 Mansfield Ave, Willimantic, CT 06226-2045 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Andrea L Thompson Pa | 73 Sand Pit Rd Ste 207, Danbury, CT 06810-4015 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Andrea Shapiro | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Lynn A D'andrea | 403 Whitney, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-06-03 ~ 1996-06-01 |
| Andrea B Hagani Md | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea S Cziffer | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on ANDREA T FOSSATI MD.
| 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).