ROCKO M FASANELLA MD (Credential# 538621) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 14, 1999. The license expiration date date is August 31, 2000. The license status is INACTIVE.
ROCKO M FASANELLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006185. The credential type is physician/surgeon. The effective date is June 14, 1999. The expiration date is August 31, 2000. The business address is 29 Rolling Ridge Rd, Orange, CT 06477. The current status is inactive.
| Licensee Name | ROCKO M FASANELLA MD |
| Credential ID | 538621 |
| Credential Number | 1.006185 |
| Credential Type | Physician/Surgeon |
| Business Address |
29 Rolling Ridge Rd Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1949-07-08 |
| Effective Date | 1999-06-14 |
| Expiration Date | 2000-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150391 | CSP.0005444 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-09-01 - 1998-02-28 | INACTIVE |
| Street Address | 29 ROLLING RIDGE RD |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | ORANGE |
| Zip Code | 06477 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ORANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Rotkowitz · Rocko Remodeling | 293 Lynch Hill Rd, Oakdale, CT 06370 | Sub-surface Sewage Cleaner | 2005-06-02 ~ 2006-04-30 |
| Lisa M Delilla | 112 Rocko Drive, Myrtle Beach, SC 29579 | Barber | 2008-05-01 ~ 2010-06-30 |
| Anne L Fasanella | Po Box 386, Westport, CT 06881-0386 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| James J Fasanella Jr | 31 Kohary Dr, Milford, CT 06460-4949 | Emergency Medical Responder | 2018-10-05 ~ 2021-03-31 |
| Angela A Fasanella | 203 Raven Terrace, Stratford, CT 06614 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Nicholas G Fasanella | 6 Eastern Parkway, Milford, CT 06460 | Electrical Limited Journeyperson | ~ |
| Anthony M Fasanella | 212 Old Hawleyville Rd, Bethel, CT 06801 | Notary Public Appointment | 1993-11-01 ~ 1998-10-31 |
| Lauren Langford Fasanella | 520 E 72nd St Apt 12k, New York, NY 10021-5198 | Licensed Clinical Social Worker | ~ |
| Richard Fasanella · Tuscany Ristorante | 1084 Madison Ave, Bridgeport, CT 06606-4625 | Restaurant Liquor | 2012-01-29 ~ 2013-01-28 |
| Debra Fasanella | 44 Hayes Drive, Milford, CT 06460 | Notary Public Appointment | 2009-08-01 ~ 2014-07-31 |
Please comment or provide details below to improve the information on ROCKO M FASANELLA MD.
| 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).