ANTONIO SCAPPATICCI MD (Credential# 546116) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
ANTONIO SCAPPATICCI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026653. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 625 Clark Ave, Bristol, CT 06010. The current status is active.
| Licensee Name | ANTONIO SCAPPATICCI MD |
| Credential ID | 546116 |
| Credential Number | 1.026653 |
| Credential Type | Physician/Surgeon |
| Business Address |
625 Clark Ave Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-07-23 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153538 | CSP.0013375 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 625 CLARK AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Licata Do | 625 Clark Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonio J Paz | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804-2414 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sayed K Ali | 223 Larkwood Dr., San Antonio, TX 78209 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Antonio Ciccone | Po Box 599, Roseland, NJ 07068 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Antonio A Sanchez | 355 S End Ave Apt 32c, New York, NY 10280-1013 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Lionelle D Wells | San Antonio, TX 78232 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Kenneth M Mcintyre | P. O. Box 241253, San Antonio, TX 78224 | Physician/surgeon | 1999-04-15 ~ 2000-06-30 |
| Jeremy August | 333 W. Olmos, San Antonio, TX 78212 | Physician/surgeon | 2007-01-08 ~ 2007-05-15 |
| Antonio C Buzaid | Al Franca 626-4 A, Sao Paulo Sp, 01422000 | Physician/surgeon | 2001-05-18 ~ 2002-06-30 |
| Roy D Russell Md | 18802 Agincourt, San Antonio, TX 78258 | Physician/surgeon | 2003-07-02 ~ 2004-07-31 |
| Antonio Canaan | 570 Stonemont Dr, Ft Lauderdale, FL 33326-3501 | Physician/surgeon | 1993-12-20 ~ 1995-02-28 |
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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).