ANTHONY J ARDOLINO
Physician/surgeon


Address: 24 Mountain View Dr, West Hartford, CT 06117

ANTHONY J ARDOLINO (Credential# 544763) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.

Business Overview

ANTHONY J ARDOLINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023836. The credential type is physician/surgeon. The effective date is June 1, 2015. The expiration date is May 31, 2016. The business address is 24 Mountain View Dr, West Hartford, CT 06117. The current status is inactive.

Basic Information

Licensee Name ANTHONY J ARDOLINO
Credential ID 544763
Credential Number 1.023836
Credential Type Physician/Surgeon
Business Address 24 Mountain View Dr
West Hartford
CT 06117
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-08-09
Effective Date 2015-06-01
Expiration Date 2016-05-31
Refresh Date 2016-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
160809 CSP.0018599 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 24 MOUNTAIN VIEW DR
City WEST HARTFORD
State CT
Zip Code 06117

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Competitor

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City WEST HARTFORD
Zip Code 06117
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HARTFORD

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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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