MARIE P VITALE MD (Credential# 478633) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 12, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
MARIE P VITALE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042092. The credential type is controlled substance registration for practitioner. The effective date is July 12, 2017. The expiration date is February 28, 2019. The business address is 7 Hidden Trail, Spencerport, NY 14559. The current status is lapsed.
| Licensee Name | MARIE P VITALE MD |
| Credential ID | 478633 |
| Credential Number | CSP.0042092 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Hidden Trail Spencerport NY 14559 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2007-08-08 |
| Effective Date | 2017-07-12 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563245 | 1.045663 | Physician/Surgeon | 2007-07-19 | 2017-10-01 - 2018-09-30 | INACTIVE |
| Street Address | 7 Hidden Trail |
| City | Spencerport |
| State | NY |
| Zip Code | 14559 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert W Hewitt | 32 Town Pump Circle, Spencerport, NY 14559 | Electrical Unlimited Contractor | ~ |
| Alicia L Adduci | 2371 Manitou Road, Spencerport, NY 14559 | Speech and Language Pathologist | ~ 1998-12-31 |
| Crane-hogan Structural Systems Inc | 3001 Brockport Rd, Spencerport, NY 14559 | Major Contractor | 2001-08-01 ~ 2002-06-30 |
| Edison W Fry | 4774 Lyell Rd, Spencerport, NY 14559 | Electrical Limited Contractor | ~ |
| Sue A Vetter | 27 Pinecrest Drive, Spencerport, NY 14559 | Registered Nurse | 2009-04-20 ~ 2010-05-31 |
| Gary B Cirillo | 21 West Ave, Spencerport, NY 14559-1316 | Public Service Technician - Telephone | 2019-10-17 ~ 2020-09-30 |
| Thomas G Meier | 86 Amity St, Spencerport, NY 14559-1322 | Emergency Medical Technician | 2017-07-14 ~ 2020-07-01 |
| Judith B Craig | 335 S Union St, Spencerport, NY 14559-1401 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Stacy L Wicks | 220 Hilltop Ln, Spencerport, NY 14559-1410 | Pharmacy Intern | 2015-03-12 ~ 2017-09-30 |
| Thomas A Laude | 20 Pinecrest Dr, Spencerport, NY 14559-1414 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 14559 | |||
| City | Spencerport |
| Zip Code | 14559 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Spencerport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Vitale Dmd | 111 Park St #1e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil B Vitale Md | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alexandra R Vitale | 15 Riverside Ave, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J Vitale | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michael G Vitale Md | 3959 Broadway 8n, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2015-01-30 ~ 2017-02-28 |
| Glenn C Vitale Dpm | 385 Main Street, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Vitale | Yale New Haven Hospital, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie Dam | 86 Deer Run, Burlington, CT 06013-1815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joy Marie Richardson | 19 Day St, Norwalk, CT 06854-4912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).