RICHARD J FAULISO MD
Controlled Substance Registration for Practitioner


Address: 50 Harvest Hill, Wethersfield, CT 06109

RICHARD J FAULISO MD (Credential# 156248) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 17, 1993. The license expiration date date is September 1, 1995. The license status is INACTIVE.

Business Overview

RICHARD J FAULISO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013748. The credential type is controlled substance registration for practitioner. The effective date is August 17, 1993. The expiration date is September 1, 1995. The business address is 50 Harvest Hill, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name RICHARD J FAULISO MD
Credential ID 156248
Credential Number CSP.0013748
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 Harvest Hill
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-08-17
Expiration Date 1995-09-01
Refresh Date 2004-04-23

Office Location

Street Address 50 HARVEST HILL
City WETHERSFIELD
State CT
Zip Code 06109

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Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD

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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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