JAMES A CANCILLERI
Controlled Substance Registration for Practitioner


Address: 14 Fairway Rdg, Avon, CT 06001-2263

JAMES A CANCILLERI (Credential# 1292366) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JAMES A CANCILLERI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060564. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 14 Fairway Rdg, Avon, CT 06001-2263. The current status is lapsed.

Basic Information

Licensee Name JAMES A CANCILLERI
Credential ID 1292366
Credential Number CSP.0060564
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Fairway Rdg
Avon
CT 06001-2263
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-06-11
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
699229 19.000792 Podiatrist 2004-03-03 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 14 FAIRWAY RDG
City AVON
State CT
Zip Code 06001-2263

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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