PHILIP D DEGAETANO (Credential# 1226718) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
PHILIP D DEGAETANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057276. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 56 Barteau Ave, Blue Point, NY 11715-1624. The current status is inactive.
| Licensee Name | PHILIP D DEGAETANO |
| Credential ID | 1226718 |
| Credential Number | CSP.0057276 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Barteau Ave Blue Point NY 11715-1624 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-06-09 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1212124 | 1.052971-DO | Physician/Surgeon | 2014-04-30 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 56 BARTEAU AVE |
| City | BLUE POINT |
| State | NY |
| Zip Code | 11715-1624 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley A Murphy | 49 Bayview Ave, Blue Point, NY 11715 | Registered Nurse | 2007-03-14 ~ 2007-09-30 |
| Colleen M Christiansen | 63 Atlantic Ave, Bluepoint, NY 11715 | Physician Assistant | 1995-08-17 ~ 1996-07-31 |
| Thomas Murphy · Elwell Construction | 16 Purick St, Bluepoint, NY 11715 | Home Improvement Contractor | 1996-03-06 ~ 1996-11-30 |
| Robert H Morris | 99 Corey Ave, Blue Point, NY 11715 | Plumbing & Piping Limited Journeyperson | 1996-03-07 ~ 1996-10-31 |
| Michael J Chaisty | 29 Division Ave, Blue Point, NY 11715 | Electrical Unlimited Journeyperson | ~ |
| Howard T Troutman | 204a Blue Point Ave, Blue Point, NY 11715-1250 | Psychologist | 2016-12-08 ~ 2017-12-31 |
| Guy J Davis Enterprises Inc | 30 Barteau Ave, Blue Point, NY 11715-1604 | Major Contractor | 2017-07-01 ~ 2018-06-30 |
| Alyssa M Wruck | 14 Willyn Rd, Blue Point, NY 11715-1813 | Dentist | 2017-10-01 ~ 2018-09-30 |
| Jason A Borowski | 45 Grandview Dr, Blue Point, NY 11715-2112 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominic E Regalbuto | 29 Avery Way, Blue Point, NY 11772-6518 | Pharmacist | 2020-04-23 ~ 2022-01-31 |
| City | BLUE POINT |
| Zip Code | 11715 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLUE POINT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip W Askenase Md | 300 Cedar St Rm #s-215, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip Stockwell Md | 28 Locust St, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Philip M Falcone | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip J Noto | 12 Penrhyn Rd, Woodbridge, CT 06525-1537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip C Harrington Dmd | 175 Grand Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip L Fava II | 222 Castlewood Dr, Bloomfield, CT 06002-1370 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip S Heilpern Md | Stone Mountain, GA 30087 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on PHILIP D DEGAETANO.
| 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).