BRIAN POLIGONE MD (Credential# 380018) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.
BRIAN POLIGONE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035823. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 516 Savin Ave, West Haven, CT 06516. The current status is inactive.
| Licensee Name | BRIAN POLIGONE MD |
| Credential ID | 380018 |
| Credential Number | CSP.0035823 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
516 Savin Ave West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-09-01 |
| Effective Date | 2008-03-01 |
| Expiration Date | 2009-02-28 |
| Refresh Date | 2011-01-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562945 | 1.045363 | Physician/Surgeon | 2007-05-07 | 2007-11-06 - 2008-11-30 | INACTIVE |
| Street Address | 516 SAVIN AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elaine S Gilmore Md | 516 Savin Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian T Fletcher Md | 497 3rd Ave Apt 9, New York, NY 10016-4854 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brian L Karasic | Po Box 819, Eatontown, NJ 07724-0819 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Moy | 24 Park Pl Apt 8h, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian M Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian J Solomon | 21 May Ct, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Brian M Pellini Md | 875 New Britain Ave, Farmington, CT 06032-2148 | Controlled Substance Registration for Practitioner | 2011-06-06 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BRIAN POLIGONE 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).