ANTONIO IGNACIO PICON
Controlled Substance Registration for Practitioner


Address: 75 Ridgeway Dr, Irvington, NY 10533-1841

ANTONIO IGNACIO PICON (Credential# 2041580) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 14, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANTONIO IGNACIO PICON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073854. The credential type is controlled substance registration for practitioner. The effective date is May 14, 2020. The expiration date is February 28, 2021. The business address is 75 Ridgeway Dr, Irvington, NY 10533-1841. The current status is active.

Basic Information

Licensee Name ANTONIO IGNACIO PICON
Credential ID 2041580
Credential Number CSP.0073854
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Ridgeway Dr
Irvington
NY 10533-1841
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-05-14
Effective Date 2020-05-14
Expiration Date 2021-02-28
Refresh Date 2020-05-20

Other licenses

ID Credential Code Credential Type Issue Term Status
2045142 CSP.0074038 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-05-15 2020-05-15 - 2021-02-28 ACTIVE
1998349 1.065597 Physician/Surgeon 2020-05-14 2020-05-14 - 2020-12-31 ACTIVE

Office Location

Street Address 75 RIDGEWAY DR
City IRVINGTON
State NY
Zip Code 10533-1841

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Walter Sedovic · Walter Sedovic Architects One Bridge Street, Irvington, NY 10533 Architect 2020-08-01 ~ 2021-07-31
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Craig S Ruoff 89 Highland Lane, Irvington, NY 10533 Real Estate Broker 2020-04-01 ~ 2021-03-31
Anthony Robert Dimartino 268 S Buckhout St, Irvington, NY 10533 Master's Level Social Worker 2020-03-01 ~ 2021-02-28
Michael Raymond Madyda 16 Jaffray Court, Irvington, NY 10533 Pharmacist 2020-02-01 ~ 2022-01-31
David J Jacoby 65 Station Road, Irvington, NY 10533 Professional Engineer 2020-02-01 ~ 2021-01-31
Larissa L Parker 403 Birch Lane, Irvington, NY 10533 Notary Public Appointment 2018-08-10 ~ 2023-08-31
Nicholas C Moore 9 Hancock Place, Irvington, NY 10533 Notary Public Appointment 2018-06-01 ~ 2023-05-31
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Competitor

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City IRVINGTON
Zip Code 10533
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + IRVINGTON

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Antonio Del Valle Md 140 Mill St, East Haven, CT 06512 Controlled Substance Registration for Practitioner 2000-03-28 ~ 2001-02-28
Antonio R Macatol Md 90 West Ridge Dr, Waterbury, CT 06708 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Hoon Min 11230 Thorn Apple, San Antonio, TX 78253 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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