PAUL HOWARD TOLERICO MD
Controlled Substance Registration for Practitioner


Address: 104 Sheldon Street, Providence, RI 02906

PAUL HOWARD TOLERICO MD (Credential# 209103) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 29, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

PAUL HOWARD TOLERICO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027895. The credential type is controlled substance registration for practitioner. The effective date is January 29, 1999. The expiration date is February 28, 2000. The business address is 104 Sheldon Street, Providence, RI 02906. The current status is inactive.

Basic Information

Licensee Name PAUL HOWARD TOLERICO MD
Credential ID 209103
Credential Number CSP.0027895
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 104 Sheldon Street
Providence
RI 02906
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-01-29
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
555029 1.037439 Physician/Surgeon 1998-12-11 - 1999-10-31 INACTIVE

Office Location

Street Address 104 SHELDON STREET
City PROVIDENCE
State RI
Zip Code 02906

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Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City PROVIDENCE
Zip Code 02906
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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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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