GARY A LAPOLLA DO
Controlled Substance Registration for Practitioner


Address: 28 Claybar Drive, West Hartford, CT 06117

GARY A LAPOLLA DO (Credential# 232809) 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.

Business Overview

GARY A LAPOLLA DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029318. 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 28 Claybar Drive, West Hartford, CT 06117. The current status is active.

Basic Information

Licensee Name GARY A LAPOLLA DO
Credential ID 232809
Credential Number CSP.0029318
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 28 Claybar Drive
West Hartford
CT 06117
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-03-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
556008 1.038418 Physician/Surgeon 2000-02-15 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 28 Claybar Drive
City WEST HARTFORD
State CT
Zip Code 06117

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Ora Bartov · Moreno 28 Claybar Drive, West Hartford, CT 06117 Marital and Family Therapist 1996-03-11 ~ 1997-03-31

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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06117
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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