ANTHONY F LASALA MD (Credential# 543606) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ANTHONY F LASALA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021176. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1260 Silas Deane Highway, Wethersfield, CT 06109. The current status is active.
| Licensee Name | ANTHONY F LASALA MD |
| Credential ID | 543606 |
| Credential Number | 1.021176 |
| Credential Type | Physician/Surgeon |
| Business Address |
1260 Silas Deane Highway Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-04-09 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149098 | CSP.0008658 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1260 Silas Deane Highway |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen J Walton | 1260 Silas Deane Highway, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tamika Blackburn | 1260 Silas Deane Highway, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madhavi Gorusu Md | 1260 Silas Deane Highway, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Helena C Nolasco | 1260 Silas Deane Highway, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johanna M Lasala | 240 Indian River Rd, Orange, CT 06477 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Francis B Lasala | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anthony S Lasala | 129 Ardmore Rd, W Hartford, CT 06119 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Lasala Real Estate LLC | 609 Farmington Ave Ste 102, Hartford, CT 06105-3072 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Anthony Marchand | Po Box 10, Summit, NJ 07901 | Physician/surgeon | 2001-10-09 ~ 2002-11-30 |
| Anthony J Bravo Md | 160 Red Oak Rd, Fairfield, CT 06430 | Physician/surgeon | 2004-09-08 ~ 2005-10-31 |
| Anthony Griffiths | New Preston, CT 06777 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Anthony H Axiotis | Po Box 566, Fairfield, CT 06430 | Physician/surgeon | 1995-01-09 ~ 1996-01-31 |
| Anthony V Dallas | 119 Cumberland Pl, Hendersonville, TN 37075-4358 | Physician/surgeon | ~ |
| Anthony S Parisi | 24 Billow Rd., Niantic, CT 06357 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).