JOSEPH J FATA (Credential# 552876) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is January 31, 1997. The license status is INACTIVE.
JOSEPH J FATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035283. The credential type is physician/surgeon. The expiration date is January 31, 1997. The business address is 1235 Kirkham Lane, Indianapolis, IN 46260. The current status is inactive.
| Licensee Name | JOSEPH J FATA |
| Credential ID | 552876 |
| Credential Number | 1.035283 |
| Credential Type | Physician/Surgeon |
| Business Address |
1235 Kirkham Lane Indianapolis IN 46260 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-06-07 |
| Expiration Date | 1997-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1235 KIRKHAM LANE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan W Cox | 8830 Staghorn Rd, Indianapolis, IN 46260 | Engineer-in-training | 2003-11-18 ~ 2013-11-18 |
| James Bicos | 8402 Harcourt Road, Indianapolis, IN 46260 | Physician/surgeon | 2009-03-27 ~ 2010-04-30 |
| Robert J Mcguffey | 7260 North Illinois St, Idianapolis, IN 46260 | Architect | 2001-08-06 ~ 2002-07-31 |
| Janice G Green | 1840 Brewster Road, Indianapolis, IN 46260 | Registered Nurse | 2002-09-17 ~ 2003-11-30 |
| Erica D Engelstein | 8681 Jaffa Ct. E. Dr, Indianapolis, IN 46260 | Physician/surgeon | 1995-07-26 ~ 1996-09-30 |
| Lance L Collins | 8023 Dartmouth Road, Indianapolis, IN 46260 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Roger G Reed | 6704 Hoover Rd, Indianapolis, IN 46260 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Aliza Style | 9516 Oakley Dr, Indianapolis, IN 46260-1325 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Diane H Holzman | 1947 Bechtel Rd, Indianapolis, IN 46260-1501 | Registered Nurse | 2013-10-01 ~ 2014-09-30 |
| Carolyn N Lewandowski | 8450 Viburnum Ct, Indianapolis, IN 46260-2277 | Registered Nurse - Temporary | 2009-09-14 ~ 2010-01-12 |
| Find all Licenses in zip 46260 | |||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + INDIANAPOLIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Fata Md | 16 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 1996-07-15 ~ 1997-02-28 |
| Al-cantara La Fata Galanti Terre Siciliane Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-08-25 ~ 2020-08-24 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Joseph F. Skowron IIi | 16 Doubling Rd, Greenwich, CT 06830-4846 | Physician/surgeon | ~ |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joseph T Culverwell | 629 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1999-07-12 ~ 2000-07-31 |
| Joseph M Ossorio | Po Box 562966, Miami, FL 33256-2966 | Physician/surgeon | ~ |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
| Joseph S Yeh Md | 333 E. 30th St. Apt. 5l, New York, NY 10016 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
Please comment or provide details below to improve the information on JOSEPH J FATA.
| 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).