WILLIAM M INDOCCI MD (Credential# 544134) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
WILLIAM M INDOCCI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022424. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 188 Elizabeth St, Derby, CT 06418. The current status is inactive.
| Licensee Name | WILLIAM M INDOCCI MD |
| Credential ID | 544134 |
| Credential Number | 1.022424 |
| Credential Type | Physician/Surgeon |
| Business Address |
188 Elizabeth St Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-10-15 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144608 | CSP.0009778 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 188 ELIZABETH ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alfonso Indocci | 188 Elizabeth Street, Derby, CT 06418 | Notary Public Appointment | 1972-04-01 ~ 1977-03-31 |
| William High Md | 2910 Fannin St Ste B, Beaumont, TX 77701-3901 | Physician/surgeon | 2016-07-13 ~ 2017-01-31 |
| William G Cimino Md | William G. Cimino, Md, PC, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William H Truswell | CT | Physician/surgeon | 1973-08-07 ~ 1981-06-30 |
| William M Griffin | Po Box 877, Jackson, CA 95642 | Physician/surgeon | 1999-04-13 ~ 2000-04-30 |
| William Sanchez | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| William T Hennessy | Po Box 325, Amagansett, NY 11930-0325 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| William A Petit Jr | Po Box 310, Plainville, CT 06062-0310 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| William E Harding | 150 Middle St Apt 3i, Portland, ME 04101-4150 | Physician/surgeon | ~ |
| William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on WILLIAM M INDOCCI 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).