RICHARD R SIMONE
Controlled Substance Registration for Practitioner


Address: 33 Berlin Ave, Southington, CT 06489

RICHARD R SIMONE (Credential# 162103) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 25, 1993. The license expiration date date is February 1, 1995. The license status is INACTIVE.

Business Overview

RICHARD R SIMONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020812. The credential type is controlled substance registration for practitioner. The effective date is March 25, 1993. The expiration date is February 1, 1995. The business address is 33 Berlin Ave, Southington, CT 06489. The current status is inactive.

Basic Information

Licensee Name RICHARD R SIMONE
Credential ID 162103
Credential Number CSP.0020812
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Berlin Ave
Southington
CT 06489
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-03-25
Expiration Date 1995-02-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
699776 2.003288 Dentist 1901-01-01 1993-07-23 - 1994-08-31 INACTIVE

Office Location

Street Address 33 BERLIN AVE
City SOUTHINGTON
State CT
Zip Code 06489

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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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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