PHILIP A MICELI MD (Credential# 384356) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 17, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
PHILIP A MICELI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036508. The credential type is controlled substance registration for practitioner. The effective date is March 17, 2006. The expiration date is February 28, 2007. The business address is Naval Ambulatory Care Center, Groton, CT 06349-5600. The current status is inactive.
| Licensee Name | PHILIP A MICELI MD |
| Credential ID | 384356 |
| Credential Number | CSP.0036508 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Naval Ambulatory Care Center Groton CT 06349-5600 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-09-23 |
| Effective Date | 2006-03-17 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| Street Address | NAVAL AMBULATORY CARE CENTER |
| City | GROTON |
| State | CT |
| Zip Code | 06349-5600 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tony L Peterson Dds | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Joel W Larcombe Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Mark W Gesell Md | Naval Ambulatory Care Center, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Joseph C Finley Jr | Naval Ambulatory Care Center, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| John W Dorunda Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Anil Taneja Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Physician/surgeon | 2007-01-16 ~ 2007-11-30 |
| Mario H Diaz Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Peter Pogacar | Naval Ambulatory Care Center, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| George A Pazos Md | Naval Ambulatory Care Center, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 2005-03-21 ~ 2006-02-28 |
| James D Crowther Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daryl C Ranton | Nav Hosp Box 600, Groton, CT 06349-5600 | Registered Nurse | 1996-07-16 ~ 1997-09-30 |
| Christopher L Willey | Box 600, Naval Hospital, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Mark J Caci | Naval Hospital, Box 334, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1995-07-01 |
| Richard K Webster | Box 600 Nursing Services, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-07-01 |
| Kristin E Carleo | Naval Hosp., Box 600-dental, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Brian S Nogle | Naval Hospital, P.o. Box 600, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Shannon D Dishner | Naval Hospital, Box 600, Sub Base, Groton, CT 06349-5600 | Emergency Medical Technician | ~ 1993-10-01 |
| Ronald R Rasmussen Md | Naval Ambulatory Care, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Matthew W Nicola Md | Naval Ambulatory Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Charles A Ciccone M.d. | Naval Ambulatory Care Clinic, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Find all Licenses in zip 06349-5600 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miles Schnirman | 1 Wahoo Avenue, Groton, CT 06349 | Psychologist | ~ |
| Herb J Carlon | 49 Golf Street, Groton, CT 06349 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shariff Sanchez | 239 Laurel Hill Avenue, Norwich, CT 06349 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Renee F Dunn · James | Bldg 83 Box 93, Groton, CT 06349 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Pearle Vision #c439 | Building 484, Groton, CT 06349 | Optical Selling Permit | 2019-09-05 ~ 2020-08-31 |
| Shahiah Gibson | 43 South Rd Apt 43-12b, Groton, CT 06349 | Medication Administration Certification | ~ |
| Taco Bell/pizza Hut/tcby Treats · Tacala North Inc | 86 Ella Grasso Tpke, Windsor Locks, CT 06349 | Bakery | 2000-07-01 ~ 2001-06-30 |
| International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 | Po Box 5003, Groton, CT 06349 | Public Charity | 2013-06-07 ~ 2014-11-30 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wendy A Rossi | Nacc, Groton, CT 06349 | Registered Nurse | 2002-07-01 ~ 2003-06-30 |
| Find all Licenses in zip 06349 | |||
| City | GROTON |
| Zip Code | 06349 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara M Miceli | 355 Oak Dr, Watertown, CT 06795-3141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph D Miceli | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip Yi Kit Pang | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | ~ |
| Philip T Korthuis Md | 896 Quinnipiac Ave #7, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Philip M Falcone | 46 Prince St Ste 203, New Haven, CT 06519-1600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip J. Piette Pa-c | 55 Cameron St, Pawtucket, RI 02861-1713 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
Please comment or provide details below to improve the information on PHILIP A MICELI 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).