FRANK G FORTUNATI JR (Credential# 216768) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FRANK G FORTUNATI JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028606. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 184 Liberty St, New Haven, CT 06519. The current status is active.
| Licensee Name | FRANK G FORTUNATI JR |
| Credential ID | 216768 |
| Credential Number | CSP.0028606 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
184 Liberty St New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-07-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555498 | 1.037908 | Physician/Surgeon | 1999-07-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 184 LIBERTY ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel B Katz | 184 Liberty St, New Haven, CT 06519-1625 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Luming Li | 184 Liberty St, New Haven, CT 06511-6662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nataly Sumarriva Beck | 184 Liberty St, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean Matthew Rumschik | 184 Liberty St, New Haven, CT 06519-1625 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marina Picciotto · Yale University School of Medicine | 184 Liberty St, New Haven, CT 06519-1625 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Milica Stefanovic | 184 Liberty St, New Haven, CT 06519-1625 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sencan S Unal Md | 184 Liberty St, New Haven, CT 06519-1625 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Yale University · Yale Psychiatric Institute | 184 Liberty St, New Haven, CT 06519 | Hospitals for Mentally Ill Persons | ~ 2001-09-30 |
| Yale Psychiatric Institute | 184 Liberty St, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben M Frank Dds | 105 Newtown Rd Ste G, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Frank Y Han | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-17 |
| Kevin S Frank Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-07-14 ~ 2017-02-28 |
| Frank K Longo Md | 58 Maple St, Naugatuck, CT 06770-4160 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank T Mcaleer | 295 Pucker St, Coventry, CT 06238-3453 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank E Goldberg | 256 N Main St, Manchester, CT 06042-2004 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Frank L Kuzmin | 333 Kennedy Dr, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Frank S K Appah Jr | 25 Danube Dr, Trumbull, CT 06611-1471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank Dicorato Md | 10 Mott Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Frank Noreika Pa | 252 Bear Paw Rd, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Please comment or provide details below to improve the information on FRANK G FORTUNATI JR.
| 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).