JOSEPH J FORMICA (Credential# 341905) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
JOSEPH J FORMICA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033722. The credential type is controlled substance registration for practitioner. The effective date is March 19, 2007. The expiration date is February 29, 2008. The business address is 8690 Marlamoor Ln, West Palm Beach, FL 33412. The current status is inactive.
| Licensee Name | JOSEPH J FORMICA |
| Credential ID | 341905 |
| Credential Number | CSP.0033722 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8690 Marlamoor Ln West Palm Beach FL 33412 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2007-03-19 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 539132 | 1.008327 | Physician/Surgeon | 1956-09-17 | 2007-03-19 - 2007-10-03 | INACTIVE |
| 151104 | CSP.0005361 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-09-01 - 1998-02-28 | INACTIVE |
| Street Address | 8690 MARLAMOOR LN |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fred B Leonard | 10565 La Strada, West Palm Beach, FL 33412 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Elliot Isban | 8581 Marlamoor Road, Palm Beach Gardens, FL 33412 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Constitution Realty Inc · Lorraine Leonard Team | D/b/a Lorraine Leonard Team, West Palm Beach, FL 33412 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Arthur H Rosenberg | 7053 Tradition Cove W, West Palm Beach, FL 33412 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Brody | 8187 Quail Meadow Way, West Palm Beach, FL 33412 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Yvrose Jeanpierre · Jeanpierre | 13545 72nd Ct N, West Palm Beach, FL 33412 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Louis S Scianna | 8873 Lakes Boulevard, West Palm Beach, FL 33412 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Nancy L Andrews | 10626 Piazza Fontana, West Palm Beach, FL 33412 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Bernard Klein Md | 10164 Osprey Trace, West Palm Beach, FL 33412 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Myrna I Weinstein | 8182 Quail Meadow Trace, West Palm Beach, FL 33412 | Real Estate Broker | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 33412 | |||
| City | WEST PALM BEACH |
| Zip Code | 33412 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST PALM BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas B Formica | 22 Pine St, Bristol, CT 06010-6948 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard N Formica Jr | 4 Split Rock Road, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| St Joseph's Manor | 6448 Main Street, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2000-12-22 |
| Joseph E Grasso Dds · University of Connecticut | Joseph Grasso Dds, Farmington, CT 06030-1615 | Controlled Substance Registration for Practitioner | 2017-03-27 ~ 2019-02-28 |
| St Joseph's Hospital | 128 Strawberry Hill Ave, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Joseph Tomanelli | Joseph T Tomanelli, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph Flanagan M.d. · Joseph Flanagan, M.d. | Ct Juvenile Training School/long Lane School, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Joseph Y Kim | 91 Bishop St. #21, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-24 ~ 2013-02-28 |
| Joseph I Matthews Md | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Controlled Substance Registration for Practitioner | 2011-08-01 ~ 2013-02-28 |
| Joseph J Makovich Jr | P O Box 15, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 1994-02-14 ~ 1996-01-01 |
Please comment or provide details below to improve the information on JOSEPH J FORMICA.
| 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).