CHARLES A CICCONE M.D. (Credential# 192364) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.
CHARLES A CICCONE M.D. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026504. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is Naval Ambulatory Care Clinic, Groton, CT 06349-5600. The current status is inactive.
| Licensee Name | CHARLES A CICCONE M.D. |
| Credential ID | 192364 |
| Credential Number | CSP.0026504 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Naval Ambulatory Care Clinic Groton CT 06349-5600 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-03-01 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | NAVAL AMBULATORY CARE CLINIC |
| City | GROTON |
| State | CT |
| Zip Code | 06349-5600 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tony L Peterson Dds | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Daryl C Ranton | Nav Hosp Box 600, Groton, CT 06349-5600 | Registered Nurse | 1996-07-16 ~ 1997-09-30 |
| Christopher L Willey | Box 600, Naval Hospital, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Mark J Caci | Naval Hospital, Box 334, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1995-07-01 |
| Richard K Webster | Box 600 Nursing Services, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-07-01 |
| Kristin E Carleo | Naval Hosp., Box 600-dental, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Brian S Nogle | Naval Hospital, P.o. Box 600, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Shannon D Dishner | Naval Hospital, Box 600, Sub Base, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Ronald R Rasmussen Md | Naval Ambulatory Care, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Matthew W Nicola Md | Naval Ambulatory Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Find all Licenses in zip 06349-5600 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miles Schnirman | 1 Wahoo Avenue, Groton, CT 06349 | Psychologist | ~ |
| Herb J Carlon | 49 Golf Street, Groton, CT 06349 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shariff Sanchez | 239 Laurel Hill Avenue, Norwich, CT 06349 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Renee F Dunn · James | Bldg 83 Box 93, Groton, CT 06349 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Pearle Vision #c439 | Building 484, Groton, CT 06349 | Optical Selling Permit | 2019-09-05 ~ 2020-08-31 |
| Shahiah Gibson | 43 South Rd Apt 43-12b, Groton, CT 06349 | Medication Administration Certification | ~ |
| Taco Bell/pizza Hut/tcby Treats · Tacala North Inc | 86 Ella Grasso Tpke, Windsor Locks, CT 06349 | Bakery | 2000-07-01 ~ 2001-06-30 |
| International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 | Po Box 5003, Groton, CT 06349 | Public Charity | 2013-06-07 ~ 2014-11-30 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wendy A Rossi | Nacc, Groton, CT 06349 | Registered Nurse | 2002-07-01 ~ 2003-06-30 |
| Find all Licenses in zip 06349 | |||
| City | GROTON |
| Zip Code | 06349 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eugene M Ciccone | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sheila C Ciccone Aprn | 31 Porter Pond Rd, Sterling, CT 06377 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
| Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
| Charles Wang | 250 Judwin Ave, New Haven, CT 06515-2318 | Controlled Substance Registration for Practitioner | 2010-12-20 ~ 2013-02-28 |
| Charles J Slagle | 183 E Putnam Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1994-02-01 ~ 1996-02-01 |
| Charles R Robinson | 156 Farmington Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles Forster Dpm | 50 Longmeadow Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
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| 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).