EDWARD H CUSSATTI MD (Credential# 367019) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
EDWARD H CUSSATTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034805. The credential type is controlled substance registration for practitioner. The effective date is May 24, 2004. The expiration date is February 28, 2005. The business address is 318 Flurry Lane, West Babylon, NY 11704. The current status is inactive.
| Licensee Name | EDWARD H CUSSATTI MD |
| Credential ID | 367019 |
| Credential Number | CSP.0034805 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
318 Flurry Lane West Babylon NY 11704 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-05-24 |
| Effective Date | 2004-05-24 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559836 | 1.042254 | Physician/Surgeon | 2004-03-26 | 2004-03-26 - 2004-12-31 | INACTIVE |
| Street Address | 318 FLURRY LANE |
| City | WEST BABYLON |
| State | NY |
| Zip Code | 11704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie S Duclair | 426 Belmont Ave, West Babylon, NY 11704 | Registered Nurse | ~ |
| Tod B Ossmann | 106 Brookvale Ave, West Babylon, NY 11704 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Richard J Malec | 21 Old Farmingdale Rd, W Babylon, NY 11704 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael Mancini | 834-6th Street, West Babylon, NY 11704 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Emmanuel O Odigie | 837 Outlook Ave, Babylon, NY 11704 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Alison Caruana | 80 Nassau Ave, West Babylon, NY 11704 | Physician/surgeon | 2019-10-07 ~ 2020-06-30 |
| William Bernard | 14 Linton Ct, W Babylon, NY 11704 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Nicole Denise Ranford | 156 Woodrow Parkway, West Babylon, NY 11704 | Master's Level Social Worker | 2017-12-01 ~ 2018-11-30 |
| Christopher Latsch | 1600 Third St, West Babylon, NY 11704 | Home Improvement Salesperson | 2000-12-01 ~ 2001-11-30 |
| Steven F Zugajewicz · Chimneys Roofing Gutter Maintenance | 124 Burgess Ave, West Babylon, NY 11704 | Home Improvement Salesperson | 2012-02-17 ~ 2012-11-30 |
| Find all Licenses in zip 11704 | |||
| City | WEST BABYLON |
| Zip Code | 11704 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST BABYLON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward G Duval | 26 Dorrance St, Danielson, CT 06239 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward G Allcock Do | 105 Oswegatchie Rd, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Edward P Monico Md | 201 Bartlett Dr., Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward A Clerkin IIi | 48 Redcoat Ln, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on EDWARD H CUSSATTI MD.
| 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).