GREGORY FIASCONARO III (Credential# 550477) 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 FIASCONARO III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032877. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 54 Tridell Dr, Plantsville, CT 06479. The current status is active.
| Licensee Name | GREGORY FIASCONARO III |
| Credential ID | 550477 |
| Credential Number | 1.032877 |
| Credential Type | Physician/Surgeon |
| Business Address |
54 Tridell Dr Plantsville CT 06479 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-04-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162595 | CSP.0020939 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 54 Tridell Dr |
| City | Plantsville |
| State | CT |
| Zip Code | 06479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olubukola Awe | 54 Tridell Dr, Plantsville, CT 06479 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Richard V Ruey Aprn | 54 Tridell Dr, Plantsville, CT 06479 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Aiman Riaz | 54 Tridell Dr, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2019-04-30 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | Plantsville |
| Zip Code | 06479 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Plantsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory R Criscuolo Md | 330 Washington St, Norwich, CT 06360 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory J. Galano | 160 Riverside Blvd Apt 8k, New York, NY 10069-0706 | Physician/surgeon | ~ |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Gregory W Walter | 22 Monticello Key, Papamoa Tauranga, 3118 | Physician/surgeon | ~ |
| Gregory W Taylor | 56 Republic Dr Apt 315, Bloomfield, CT 06002-5442 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gregory A Rutkowski Md | 44 Canterbury Rd, Berlin, CT 06037-3706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gregory V Babigian | 18 Harness Rd, St. James, NY 11780 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gregory F Brucato | 38 B Grove St, Ridgefield, CT 06877 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on GREGORY FIASCONARO III.
| 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).