DAVID C PACKO (Credential# 558037) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
DAVID C PACKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040454. The credential type is physician/surgeon. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is Emergency Medicine Physicans, Canton, OH 44718. The current status is inactive.
| Licensee Name | DAVID C PACKO |
| Credential ID | 558037 |
| Credential Number | 1.040454 |
| Credential Type | Physician/Surgeon |
| Business Address |
Emergency Medicine Physicans Canton OH 44718 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-05-22 |
| Effective Date | 2018-02-01 |
| Expiration Date | 2019-01-31 |
| Refresh Date | 2019-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 317053 | CSP.0032482 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | Emergency Medicine Physicans |
| City | Canton |
| State | OH |
| Zip Code | 44718 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominic J Bagnoli Jr. | 4535 Dressler Road N.w., Canton, OH 44718 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Valerie J. De Maio | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Heather R. Godale | Emergency Medicine Physicians, Canton, OH 44718 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
| Stephen J Sanofsky | 2930 Sussex Nw, Canton, OH 44718 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Ghassan H Kabbara | 6615 Knightsbridge Ave Nw, Canton, OH 44718 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| William D Morrison | 5958 Shakertown Dr, Canton, OH 44718 | Respiratory Care Practitioner | 1999-05-27 ~ 2000-05-31 |
| Monty R Reed | 5522 West Blvd Nw, Canton, OH 44718 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Jeremy D Tucker | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 44718 | |||
| City | Canton |
| Zip Code | 44718 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Canton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra L Plumb · Packo | 43 Punkup Rd, Oxford, CT 06478-1725 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Audrey Packo | 173 Martin Lane, Orange, CT 06477 | Notary Public Appointment | 2015-11-01 ~ 2020-10-31 |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on DAVID C PACKO.
| 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).