CAROL J ANNINO
Controlled Substance Registration for Practitioner


Address: 173 Fowler Ave, Middletown, CT 06457-3649

CAROL J ANNINO (Credential# 537913) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CAROL J ANNINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045971. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 173 Fowler Ave, Middletown, CT 06457-3649. The current status is inactive.

Basic Information

Licensee Name CAROL J ANNINO
Credential ID 537913
Credential Number CSP.0045971
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 173 Fowler Ave
Middletown
CT 06457-3649
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-08-03
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1200054 1.052691-DO Physician/Surgeon 2014-01-30 2014-01-30 - 2014-11-30 INACTIVE

Office Location

Street Address 173 FOWLER AVE
City MIDDLETOWN
State CT
Zip Code 06457-3649

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Competitor

Search similar business entities

City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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