PAUL M FORTUNATO (Credential# 701451) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE MILITARY.
PAUL M FORTUNATO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.006347. The credential type is dentist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 604 Nw 197th Street, Edmond, OK 73012. The current status is active military.
| Licensee Name | PAUL M FORTUNATO |
| Credential ID | 701451 |
| Credential Number | 2.006347 |
| Credential Type | Dentist |
| Business Address |
604 Nw 197th Street Edmond OK 73012 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE MILITARY - CURRENT |
| Active | 1 |
| Issue Date | 1983-07-09 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-10-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151552 | CSP.0011891 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-27 - 1995-09-01 | INACTIVE |
| Street Address | 604 NW 197th Street |
| City | Edmond |
| State | OK |
| Zip Code | 73012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Lynch | 2233 Bretton Lane, Edmond, OK 73012 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Davenport | 18400 El Greco Drive, Edmond, OK 73012 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Lisa Ann Rankin | 18521 Las Meninas Dr, Edmond, OK 73012 | Registered Nurse - Temporary | 2014-11-12 ~ 2015-03-11 |
| Gregory Allen Burnett | 3032 Nw 201st St, Edmond, OK 73012-0636 | Registered Nurse | 2020-04-03 ~ 2020-09-30 |
| Annette S Ciesinski | 2213 Nw 199th St, Edmond, OK 73012-5205 | Paramedic | 2015-10-01 ~ 2016-09-30 |
| Kelly A Jackson | 2717 Nw 173rd Ter, Edmond, OK 73012-6703 | Registered Nurse | 2013-04-12 ~ 2013-10-31 |
| Kelsey Gilmore | 524 Nw 170th St, Edmond, OK 73012-6706 | Registered Nurse | 2017-04-06 ~ 2018-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rewel Kariuki | 2600 Cordgrass Ln, Edmond, OK 73013-1795 | Registered Nurse - Temporary | 2020-06-27 ~ 2020-10-25 |
| Christy Greenly | 15200 Daybright Dr, Edmond, OK 73013-9630 | Registered Nurse | ~ |
| Ben A Baggett | 516 Harding Pl, Edmond, OK 73013-5464 | Asbestos Consultant-insp/mgmt Planner | 2019-01-01 ~ 2019-12-31 |
| Betty J Haywood Md | 705 Nw 144th St, Edmond, OK 73013 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jane K Fitch | 7351 Bayliner Launch, Edmond, OK 73013-8727 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Darr & Collins LLC | 1425 Nw 150th St, Edmond, OK 73013-1305 | Professional Engineering Corporation | 2018-04-24 ~ 2019-04-24 |
| Khushbu Manish Patel | 157 Stonebridge Blvd Apt 328, Edmond, OK 73013-4650 | Physical Therapist | ~ |
| Sandra Sabbioni | 777 East 15th Street #250, Edmond, OK 73013 | Licensed Clinical Social Worker | 2018-12-01 ~ 2019-11-30 |
| Leo Lu | 15212 Worthington Ln, Edmond, OK 73013-1122 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Syam Sundar Mannava | 15313 Kestral Lake Dr, Edmond, OK 73013-9693 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in Edmond | |||
| City | Edmond |
| Zip Code | 73012 |
| License Type | Dentist |
| License Type + County | Dentist + Edmond |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward J Fortunato · Fortunato's Villa Pasta | 249 Rt 39, New Fairfield, CT 06812 | Restaurant Liquor | 2015-06-25 ~ 2016-06-18 |
| Dylan Fortunato | 132 New Haven Ave, Milford, CT 06460 | Public Charity-exempt From Financial Requirements | ~ |
| Fortunato Construction Group Inc | Po Box 7294, Kensington, CT 06037-7294 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Fortunato's Bakery | 4133 Whitney Ave, Hamden, CT 06518 | Bakery | 2005-07-01 ~ 2006-06-30 |
| Fortunato Chardonnay Delle Venize | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-06-08 ~ 2008-06-07 |
| Dylan A Fortunato Medical Expenses Fund | 190 Fresh Meadow Ln, Milford, CT 06461-1934 | Public Charity-exempt From Financial Requirements | 2014-04-14 ~ |
| Gini Red Villa Fortunato Chianti Docg | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-09-25 ~ 2010-09-24 |
| Cantini Gini Villa Fortunato Chianti | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2005-05-16 ~ 2008-05-15 |
| Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
| Paul A Covello | 353 E 17th St Apt 21, New York, NY 10003-3821 | Dentist | ~ |
Please comment or provide details below to improve the information on PAUL M FORTUNATO.
| 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).