CAROL A FUCIGNA MD (Credential# 553063) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CAROL A FUCIGNA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035470. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 372 Danbury Rd, Wilton, CT 06897-2523. The current status is active.
| Licensee Name | CAROL A FUCIGNA MD |
| Credential ID | 553063 |
| Credential Number | 1.035470 |
| Credential Type | Physician/Surgeon |
| Business Address |
372 Danbury Rd Wilton CT 06897-2523 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-08-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 354738 | CSP.0034270 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-11-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 372 DANBURY RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-2523 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mountainside - Wilton Ct | 372 Danbury Rd, Wilton, CT 06897-2523 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Maura L Sparks | 372 Danbury Rd, Wilton, CT 06897-2523 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Carolyn M Couture Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Drinks Americas Inc | 372 Danbury Rd, Wilton, CT 06897 | Out of State Shipper Beer | 2011-11-22 ~ 2012-11-21 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Beitel | 372 Danbury Rd Ste 100, Wilton, CT 06897-2523 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| Leukemia and Lymphoma Society | 372 Danbury Rd Ste 200, Wilton, CT 06897-2523 | Raffle Permit Class 2 | 2014-04-01 ~ 2014-04-25 |
| Home Buyers Assistance Corp · Donald A Teare | 372 Danbury Road #191, Wilton, CT 06897-2523 | Real Estate Broker | 2001-04-01 ~ 2002-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Fucigna | 1455 East Putnam Ave, Old Greenwich, CT 06870 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carol A Westbrook | Po Box 444, Beverly Shores, IN 46301-0444 | Physician/surgeon | ~ |
| Carol H Lee | 326 Colonial Rd, Guilford, CT 06437 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Carol R Reed | 36 Church Ln, Westport, CT 06880-3505 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| James T Burch Md | 10 Carol Dr, Ivoryton, CT 06442-1278 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carol L Kandall | 47 Canterbury Rd, Hamden, CT 06514-2016 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Carol A Stabile | 732 Main St, Manchester, CT 06040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carol A Abbatiello Do | 52 Shallowbrook Ln, Glastonbury, CT 06033-1407 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brian Mirante | 6 Carol Dr, Ivoryton, CT 06442-1278 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).