SANDRA BELLANTONIO MD
Physician/surgeon


Address: 42 Crosswood Road, Farmington, CT 06032

SANDRA BELLANTONIO MD (Credential# 553747) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 11, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

SANDRA BELLANTONIO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036155. The credential type is physician/surgeon. The effective date is January 11, 2002. The expiration date is February 28, 2003. The business address is 42 Crosswood Road, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name SANDRA BELLANTONIO MD
Credential ID 553747
Credential Number 1.036155
Credential Type Physician/Surgeon
Business Address 42 Crosswood Road
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-07-03
Effective Date 2002-01-11
Expiration Date 2003-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
182979 CSP.0025779 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-07-23 - 2003-02-28 INACTIVE

Office Location

Street Address 42 CROSSWOOD ROAD
City FARMINGTON
State CT
Zip Code 06032

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

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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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