RICHARD P FAZIO (Credential# 545556) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.
RICHARD P FAZIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025622. The credential type is physician/surgeon. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 196 Parkway S Ste 103, Waterford, CT 06385-1234. The current status is inactive.
| Licensee Name | RICHARD P FAZIO |
| Credential ID | 545556 |
| Credential Number | 1.025622 |
| Credential Type | Physician/Surgeon |
| Business Address |
196 Parkway S Ste 103 Waterford CT 06385-1234 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-06-13 |
| Effective Date | 2015-01-01 |
| Expiration Date | 2015-12-31 |
| Refresh Date | 2016-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150401 | CSP.0012295 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 196 PARKWAY S STE 103 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Somers Md | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly M Chemacki | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward W Coss Jr | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Thomas Sena | 196 Parkway S Ste 101, Waterford, CT 06385-1234 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Hartford Healthcare Cancer Institute At Backus Hospital | 196 Parkway South Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-05 ~ 2021-02-28 |
| Gabrielle E Pierce | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosalind Van Stolk Md | 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Gates | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Youval Katz Md | 196 Parkway S Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Backus Family Health Center At Crossroads | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Outpatient Clinic | 2014-08-06 ~ 2018-06-30 |
| Sarah R Donahue | 196 Parkway South, Waterford, CT 06385-1234 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Harlan C Taliaferro Md | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Find all Licenses in zip 06385-1234 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Michael Fazio | 6622 Fleet St Apt 4k, Forest Hills, NY 11375-4162 | Physician/surgeon | ~ |
| Angelo Fazio · Fazio Construction Inc | 49 Sunset Ln, Berlin, CT 06037 | Home Improvement Contractor | 1996-05-29 ~ 1996-11-30 |
| Joseph Fazio · Joseph Fazio Builder | 136 East Village Rd, Shelton, CT 06484 | Home Improvement Contractor | 1997-12-17 ~ 1998-11-30 |
| Richard S Fazio | 267 Main St South, Bethlehem, CT 06751 | Real Estate Salesperson | 2005-06-30 ~ 2006-05-31 |
| Richard Michael Fazio | 3750 Sunnyside St, Shrub Oak, NY 10588-1101 | Home Inspector | 2019-11-07 ~ 2021-06-30 |
| Fazio Construction Inc | 6 Pebble Rd, Wethersfield, CT 06109 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard P. Goldmann | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | ~ |
| Richard A Marino Md | Fairfield, CT 0643013 | Physician/surgeon | 2000-03-20 ~ 2001-05-31 |
Please comment or provide details below to improve the information on RICHARD P FAZIO.
| 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).