JOHN ANTONUCCI (Credential# 543046) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 29, 2020. The license status is ACTIVE.
JOHN ANTONUCCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019502. The credential type is physician/surgeon. The effective date is March 1, 2019. The expiration date is February 29, 2020. The business address is 11 Woodchuck Hill Rd, Canton, CT 06019. The current status is active.
| Licensee Name | JOHN ANTONUCCI |
| Credential ID | 543046 |
| Credential Number | 1.019502 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Woodchuck Hill Rd Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1977-08-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2020-02-29 |
| Refresh Date | 2019-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152600 | CSP.0003179 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 11 WOODCHUCK HILL RD |
| City | CANTON |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren B Antonucci | 843 Garden Road, Orange, CT 06477 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Antonucci Development | 44 Mcguire Rd, Trumbull, CT 06616 | New Home Construction Contractor | 2007-10-01 ~ 2009-09-30 |
| Antonucci Construction Inc | 1 Wolfs Ln Ste 306, Pelham, NY 10803-1844 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| J Antonucci Landscaping LLC | 85 Doolittle Rd, Stamford, CT 06902-1117 | Major Contractor | 2015-07-01 ~ 2016-06-30 |
| John V Antonucci | 85 Doolittle Rd, Stamford, CT 06902-1117 | Real Estate Salesperson | ~ |
| John J Antonucci | 47 Meadowbrook Rd, North Haven, CT 06473 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John S Lee | 99 Pigeon Rd, Willimantic, CT 06226-1320 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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| 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).