CAMILLO L FONTANA DMD (Credential# 501476) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CAMILLO L FONTANA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043452. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1100 Kings Hwy E Ste 3a, Fairfield, CT 06825-5400. The current status is active.
| Licensee Name | CAMILLO L FONTANA DMD |
| Credential ID | 501476 |
| Credential Number | CSP.0043452 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1100 Kings Hwy E Ste 3a Fairfield CT 06825-5400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-05-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 704286 | 2.009834 | Dentist | 2008-02-21 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 1100 KINGS HWY E STE 3A |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-5400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Black Rock Village Development LLC | 1100 Kings Hwy E Ste 2e, Fairfield, CT 06825-5400 | New Home Construction Contractor | 2009-10-01 ~ 2011-09-30 |
| Douglas J Koch | 1100 Kings Hwy E, Fairfield, CT 06825-5400 | Chiropractor | 2019-09-01 ~ 2020-08-31 |
| Leask & Leask, PC | 1100 King's Highway East, Fairfield, CT 06825-5400 | Certified Public Accountant Firm Permit | 2005-01-01 ~ 2005-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Camillo Ferrari | 111 Morgan St Unit 228, Stamford, CT 06905-5529 | Controlled Substance Registration for Practitioner | ~ |
| Christine Fontana Aprn · Maiden: Consigilio | 19 Autumn Ridge Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Camillo Carpentry LLC | 6 Duval Lane, Plainville, CT 06062 | Home Improvement Contractor | 2006-01-17 ~ 2006-11-30 |
| Bodegas Fontana Esencia De Fontana | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-09-17 ~ 2016-09-16 |
| Don Camillo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-02-05 ~ 2009-02-04 |
| Camillo Montepulciano D' Abruzzo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-01-17 ~ 2010-01-16 |
| Camillo Trebbiano D'abbruzzo White | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-05-25 ~ 2013-05-24 |
| Don Camillo Farnese Chieti Sangiovese | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-04-04 ~ 2018-04-02 |
| Poggioargentiera Antonio Camillo Ciliegiolo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-10-03 ~ 2015-10-02 |
| Kyle Joseph Fontana · Fontana Real Estate | 118 Stillwold Dr, Wethersfield, CT 06109-3038 | Home Improvement Contractor | 2017-03-09 ~ 2017-11-30 |
Please comment or provide details below to improve the information on CAMILLO L FONTANA DMD.
| 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).