EUGENE M CICCONE (Credential# 160899) 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 ACTIVE.
EUGENE M CICCONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020527. 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 40 Mansfield Ave, Willimantic, CT 06226-2018. The current status is active.
| Licensee Name | EUGENE M CICCONE |
| Credential ID | 160899 |
| Credential Number | CSP.0020527 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548719 | 1.030819 | Physician/Surgeon | 1990-06-01 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 40 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Generations Family Health Center, Inc | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Generations Family Health Center, Inc. | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Generations Family Health Center Inc | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Morton Glasser Md | 40 Mansfield Ave, Willimantic, CT 06226 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joaquin Carral Gomez | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Generations (across The Smiles) | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Lance W Nabers | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Professional Counselor | 2016-01-01 ~ 2016-12-31 |
| Kari A Davis | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasiliko Liapes · Mamas Pizza | 277 Ash Street, Willimantic, CT 06226 | Restaurant Wine & Beer | 2020-04-28 ~ 2021-08-27 |
| Janet G Ragno | 46 Fairview Street, Willimantic, CT 06226 | Nursing Home Administrator | 2020-08-01 ~ 2022-07-31 |
| Tim Devivo | 1590 W Main St, Willimantic, CT 06226 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Antonio Manuel Santos | 661 Windham Rd, Windham, CT 06226 | Tattoo Technician | 2020-06-25 ~ 2022-06-30 |
| Rent A Center East Inc · Rent A Center #05068 | 1329 Main Street, Willimantic, CT 06226 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Shaunda Baker | 90 South Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-07-12 ~ 2022-07-11 |
| Willimantic Shell | 1563 West Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Bailey | 152 Main St, Willimantic, CT 06226 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Royal Buffet | 1228 Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Builders Concrete East LLC · Windham Sand & Stone Inc | 75 N Windham Rd, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06226 | |||
| City | WILLIMANTIC |
| Zip Code | 06226 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheila C Ciccone Aprn | 31 Porter Pond Rd, Sterling, CT 06377 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charles A Ciccone M.d. | Naval Ambulatory Care Clinic, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Eugene A Winchester | Eugene Winchester, Md, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eugene Pak | 123 York St #6l, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Eugene Cho | 40-32 215th St, Bayside, NY 11361-2132 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eugene H Corley Md | 114 Coachlight Sq, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Eugene Sapozhnikov | 234 A Bank St, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eugene M Lipira Md | 196 Redding Rd, Georgetown, CT 06829 | Controlled Substance Registration for Practitioner | 1993-05-26 ~ 1995-03-01 |
| Eugene A Cornelius Md | 20 York St, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2002-08-08 ~ 2003-02-28 |
| Eugene Lipira Md | 83 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1994-02-08 ~ 1996-03-01 |
Please comment or provide details below to improve the information on EUGENE M CICCONE.
| 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).