GREGORY R CRISCUOLO MD (Credential# 548446) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GREGORY R CRISCUOLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030418. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 330 Washington St, Norwich, CT 06360. The current status is active.
| Licensee Name | GREGORY R CRISCUOLO MD |
| Credential ID | 548446 |
| Credential Number | 1.030418 |
| Credential Type | Physician/Surgeon |
| Business Address |
330 Washington St Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1989-11-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157785 | CSP.0017753 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 330 WASHINGTON ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindy Carelli | 330 Washington St, Norwich, CT 06360 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ankit Gupta | 330 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mandeep S Dhami | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Wesolek Md | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis E Slater Md | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| K Jagathambal | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis E Slater | 330 Washington St, Norwich, CT 06360 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory R Criscuolo | 63 Gianna Dr, Manchester, CT 06042-1972 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antony J Criscuolo · Criscuolo Design & Restoration | 616 North Park Ave, Easton, CT 06612 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory S Azia Md | 399 Ocean Ave, New London, CT 06320 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Gregory Slachta Md | 222 Carew St, Springfield, MA 01104 | Physician/surgeon | 1997-01-13 ~ 1998-03-31 |
| Gregory Lombardo | 6 Lyndel Rd, Pound Ridge, NY 10576 | Physician/surgeon | ~ |
| Gregory Dworkin Md | 4 Fox Run Lane, Newtown, CT 06470 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory H. Adkisson | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Gregory J. Galano | 160 Riverside Blvd Apt 8k, New York, NY 10069-0706 | Physician/surgeon | ~ |
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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).