ANTONIO J V FORTE (Credential# 954021) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ANTONIO J V FORTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048999. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 330 Cedar Street, 3rd Floor, New Haven, CT 06520-8041. The current status is inactive.
| Licensee Name | ANTONIO J V FORTE |
| Credential ID | 954021 |
| Credential Number | CSP.0048999 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
330 Cedar Street, 3rd Floor New Haven CT 06520-8041 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-02-14 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 511445 | CSP.0044375 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 330 Cedar Street, 3rd floor |
| City | New Haven |
| State | CT |
| Zip Code | 06520-8041 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephan Ariyan Md | Po Box 208041, New Haven, CT 06520-8041 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Edward M Uchio Md | Yale Univ School of Med/urology Section, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Bernard Lytton Md | Yale Univ School of Med(sec Urolog), New Haven, CT 06520-8041 | Physician/surgeon | 2009-07-01 ~ 2010-06-30 |
| Clarence T Sasaki Md | Yale Otolaryngology, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Bianchi Md | 333 Cedar St, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Grant Thomson Md | Po Box 208041, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Grant Thomson | Yale Plastic Surgery, New Haven, CT 06520-8041 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Joseph Shin | Po Box 208041, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David Esrig Md | Yale School of Medicine, New Haven, CT 06520-8041 | Physician/surgeon | 1997-06-17 ~ 1998-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | New Haven |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth M Forte | 52 Wilson St, Milford, CT 06461-2538 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maura T Forte | 9 Carthage Ln, Scarsdale, NY 10583-7507 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Matthew P Forte | 9 Carthage Lane, Scarsdale, NY 10583 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Antonio J Silva | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Daniel A Escobar | 4 Morning Grn, San Antonio, TX 78257-2602 | Controlled Substance Registration for Practitioner | 2015-05-29 ~ 2017-02-28 |
| Antonio Giaimo | 93 South Cliff St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Antonio Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio Pantaleo Md | 33 Bickford Lane, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joyce D Rich | 10698 Belmullet Dr, San Antonio, FL 33576-4672 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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| 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).