SALVATORE IANNOTTI
Physician/surgeon


Address: 19 Oak Glen Dr, Huntington, CT 06418

SALVATORE IANNOTTI (Credential# 541910) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 13, 1996. The license expiration date date is January 31, 1998. The license status is INACTIVE.

Business Overview

SALVATORE IANNOTTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016451. The credential type is physician/surgeon. The effective date is November 13, 1996. The expiration date is January 31, 1998. The business address is 19 Oak Glen Dr, Huntington, CT 06418. The current status is inactive.

Basic Information

Licensee Name SALVATORE IANNOTTI
Credential ID 541910
Credential Number 1.016451
Credential Type Physician/Surgeon
Business Address 19 Oak Glen Dr
Huntington
CT 06418
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1974-01-08
Effective Date 1996-11-13
Expiration Date 1998-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
158041 CSP.0017872 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-11-16 - 1995-11-01 INACTIVE

Office Location

Street Address 19 OAK GLEN DR
City HUNTINGTON
State CT
Zip Code 06418

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City HUNTINGTON
Zip Code 06418
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HUNTINGTON

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Dataset Information

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).

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