DAVID L SCIACCA MD
Controlled Substance Registration for Practitioner


Address: 21 Peck Hill Rd, Woodbridge, CT 06525

DAVID L SCIACCA MD (Credential# 405424) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

DAVID L SCIACCA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037509. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 21 Peck Hill Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name DAVID L SCIACCA MD
Credential ID 405424
Credential Number CSP.0037509
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21 Peck Hill Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-05-20
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 21 PECK HILL RD
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

Search similar business entities

City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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