PHILIP J. PIETTE PA-C
Controlled Substance Registration for Practitioner


Address: 55 Cameron St, Pawtucket, RI 02861-1713

PHILIP J. PIETTE PA-C (Credential# 993182) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PHILIP J. PIETTE PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049970. The credential type is controlled substance registration for practitioner. The effective date is April 18, 2011. The expiration date is February 28, 2013. The business address is 55 Cameron St, Pawtucket, RI 02861-1713. The current status is inactive.

Basic Information

Licensee Name PHILIP J. PIETTE PA-C
Credential ID 993182
Credential Number CSP.0049970
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 Cameron St
Pawtucket
RI 02861-1713
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-04-18
Effective Date 2011-04-18
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
975298 23.002523 Physician Assistant 2010-12-01 2011-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 55 CAMERON ST
City PAWTUCKET
State RI
Zip Code 02861-1713

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Adriano J. Amorim 78 Campbell St., Pawtucket, RI 02861 Hoisting Equipment Operator 2018-03-24 ~ 2020-03-23
Thomas J Dineen 457 Carter Ave., Pawtucket, RI 02861 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jean A Estephan 502 Walcott St., Pawtucket, RI 02861 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Antoine A Estephan 502 Walcott Street, Pawtucket, RI 02861 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Robert E Brederson 98 Williston Way, Pawtucket, RI 02861 Asbestos Abatement Worker 2020-03-01 ~ 2021-02-28
Raymond William Therrien 899 Central Ave, Pawtucket, RI 02861 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Russell J Ferland 126 Slater Park Ave, Pawtucket, RI 02861 Professional Engineer 2014-02-01 ~ 2015-01-31
Matthew J Colman 715 Armistice Boulevard, Pawtucket, RI 02861 Professional Engineer 2020-02-01 ~ 2021-01-31
Alan J Micale 414 Benefit St, Pawtucket, RI 02861 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan Jackson 12 Bella Avenue, Pawcatuck, RI 02861 Notary Public Appointment 1999-10-26 ~ 2004-10-31
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Competitor

Search similar business entities

City PAWTUCKET
Zip Code 02861
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PAWTUCKET

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Philip G Ong 267 Grant St, Bridgeport, CT 06610-2805 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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Philip C Feldberg 250 Lamberton Rd, Windsor, CT 06095 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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