ANTHONY DI LULLO MD (Credential# 547354) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is APPROVED.
ANTHONY DI LULLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028740. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is Thameside Ob/gyn Centre, Groton, CT 06340. The current status is approved.
| Licensee Name | ANTHONY DI LULLO MD |
| Credential ID | 547354 |
| Credential Number | 1.028740 |
| Credential Type | Physician/Surgeon |
| Business Address |
Thameside Ob/gyn Centre Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1987-12-18 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155303 | CSP.0016200 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | THAMESIDE OB/GYN CENTRE |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Carl H Johnson | 80 Buddington Rd., Groton, CT 06340 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony Griffiths | New Preston, CT 06777 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Anthony J Bravo Md | 160 Red Oak Rd, Fairfield, CT 06430 | Physician/surgeon | 2004-09-08 ~ 2005-10-31 |
| Anthony V Dallas | 119 Cumberland Pl, Hendersonville, TN 37075-4358 | Physician/surgeon | ~ |
| Anthony H Axiotis | Po Box 566, Fairfield, CT 06430 | Physician/surgeon | 1995-01-09 ~ 1996-01-31 |
| Anthony Marchand | Po Box 10, Summit, NJ 07901 | Physician/surgeon | 2001-10-09 ~ 2002-11-30 |
| Joseph J Di Lullo Jr | 278 Albrecht Rd, Torrington, CT 06790 | Notary Public Appointment | 1969-12-01 ~ 1974-03-31 |
| Anthony Posteraro Md | 31 Carver Ln, Hebron, CT 06248-1456 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anthony G Santomauro | 475 Fence Row Dr, Fairfield, CT 06824-7004 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Anthony A Starpoli | 194 Spackenkill Rd, Poughkeepsie, NY 12603 | Physician/surgeon | 2001-02-26 ~ 2001-11-30 |
| Anthony Chieffalo | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).