CHRISTINE E BRICCETTI MD
Physician/surgeon


Address: 1654 Beekman Place Nw, Washington, DC 20009

CHRISTINE E BRICCETTI MD (Credential# 558948) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.

Business Overview

CHRISTINE E BRICCETTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041365. The credential type is physician/surgeon. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 1654 Beekman Place Nw, Washington, DC 20009. The current status is inactive.

Basic Information

Licensee Name CHRISTINE E BRICCETTI MD
Credential ID 558948
Credential Number 1.041365
Credential Type Physician/Surgeon
Business Address 1654 Beekman Place Nw
Washington
DC 20009
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-04-16
Effective Date 2014-11-01
Expiration Date 2015-10-31
Refresh Date 2016-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
338002 CSP.0033586 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-13 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 1654 Beekman Place NW
City Washington
State DC
Zip Code 20009

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City Washington
Zip Code 20009
License Type Physician/Surgeon
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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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