IZABELA COLASACCO DO
Physician/surgeon


Address: 151 Cider Brook Drive, Wethersfield, CT 06109

IZABELA COLASACCO DO (Credential# 564214) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.

Business Overview

IZABELA COLASACCO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046632-DO. The credential type is physician/surgeon. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 151 Cider Brook Drive, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name IZABELA COLASACCO DO
Credential ID 564214
Credential Number 1.046632-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 151 Cider Brook Drive
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-06-11
Effective Date 2016-02-01
Expiration Date 2017-01-31
Refresh Date 2017-05-06

Other licenses

ID Credential Code Credential Type Issue Term Status
446871 CSP.0040224 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-24 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 151 Cider Brook Drive
City Wethersfield
State CT
Zip Code 06109

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Competitor

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City Wethersfield
Zip Code 06109
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Wethersfield

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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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