ANTHONY G CICCAGLIONE (Credential# 546829) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ANTHONY G CICCAGLIONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027876. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 3715 Main Street, Suite 408, Bridgeport, CT 06606. The current status is active.
| Licensee Name | ANTHONY G CICCAGLIONE |
| Credential ID | 546829 |
| Credential Number | 1.027876 |
| Credential Type | Physician/Surgeon |
| Business Address |
3715 Main Street, Suite 408 Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-01-23 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154740 | CSP.0015094 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3715 Main Street, Suite 408 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony H Axiotis | Po Box 566, Fairfield, CT 06430 | Physician/surgeon | 1995-01-09 ~ 1996-01-31 |
| Anthony J Bravo Md | 160 Red Oak Rd, Fairfield, CT 06430 | Physician/surgeon | 2004-09-08 ~ 2005-10-31 |
| Anthony Marchand | Po Box 10, Summit, NJ 07901 | Physician/surgeon | 2001-10-09 ~ 2002-11-30 |
| Anthony Griffiths | New Preston, CT 06777 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Anthony V Dallas | 119 Cumberland Pl, Hendersonville, TN 37075-4358 | Physician/surgeon | ~ |
| Anthony J Clark | 190 Winthrop St, New Britain, CT 06052 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
| Anthony F Fama | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4151 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Anthony D Litvak | 53 Robinwood Ave., Needham, MA 02492 | Physician/surgeon | 2007-01-31 ~ 2008-01-31 |
| Anthony J Penepent | Po Box 220-289, Great Neck, NY 11022 | Physician/surgeon | 2004-05-27 ~ 2005-06-30 |
| Anthony K Sampino | 64 Hillside Rd, Woodbury, CT 06798-4000 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).