LARAINE LAGATTOLLA DO
Controlled Substance Registration for Practitioner


Address: 79 Dean Drive, South Glastonbury, CT 06073

LARAINE LAGATTOLLA DO (Credential# 147957) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

LARAINE LAGATTOLLA DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013300. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 79 Dean Drive, South Glastonbury, CT 06073. The current status is inactive.

Basic Information

Licensee Name LARAINE LAGATTOLLA DO
Credential ID 147957
Credential Number CSP.0013300
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 79 Dean Drive
South Glastonbury
CT 06073
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
537971 1.000203-DO Physician/Surgeon 1985-07-12 2005-09-12 - 2006-09-30 INACTIVE

Office Location

Street Address 79 DEAN DRIVE
City SOUTH GLASTONBURY
State CT
Zip Code 06073

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Competitor

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City SOUTH GLASTONBURY
Zip Code 06073
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH GLASTONBURY

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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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