PAUL V DIGRAZIA MD (Credential# 153569) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
PAUL V DIGRAZIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003252. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 304 Federal Rd Ste 212, Brookfield, CT 06804-2418. The current status is inactive.
Licensee Name | PAUL V DIGRAZIA MD |
Credential ID | 153569 |
Credential Number | CSP.0003252 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
304 Federal Rd Ste 212 Brookfield CT 06804-2418 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
540268 | 1.012233 | Physician/Surgeon | 1965-08-20 | 2018-08-01 - 2019-07-21 | INACTIVE |
Street Address | 304 FEDERAL RD STE 212 |
City | BROOKFIELD |
State | CT |
Zip Code | 06804-2418 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Siem Brinn | 304 Federal Rd Ste 103, Brookfield, CT 06804-2418 | Massage Therapist | 2018-10-01 ~ 2020-09-30 |
Med-care Training | 304 Federal Rd Ste 302, Brookfield, CT 06804-2418 | Nurse Aide Training Program-private Occ School | 1997-09-03 ~ 2014-12-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06804 |
City | BROOKFIELD |
Zip Code | 06804 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Digrazia Vineyards Ltd | 131 Tower Rd, Brookfield, CT 06804-3654 | Farm Winery Liquor | 2019-07-01 ~ 2020-10-30 |
Paul Himelfarb | 13 Top of The Rdg, Mamaroneck, NY 10543-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul D Kang | 217 Se 8th St, Ankeny, IA 50021-3538 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Paul Fox Md | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | Controlled Substance Registration for Practitioner | 2011-03-23 ~ 2013-02-28 |
Joan Paul | 680 Mix Ave Apt 3p, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
Paul Pyo | 893 Cahill Ct, Cheshire, CT 06410-3302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul H Zimmering Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul B Vanderbeek Md | 850 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Paul R Benoit Jr | 32 Wicklow Rd, Westerly, RI 02891-3644 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Paul R Goldschmidt | 6 Park Pl, New Britain, CT 06052-1403 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).