JOSEPH M CIVETTA MD (Credential# 553437) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
JOSEPH M CIVETTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035844. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 12 Fawn Brk, West Hartford, CT 06117-1032. The current status is inactive.
| Licensee Name | JOSEPH M CIVETTA MD |
| Credential ID | 553437 |
| Credential Number | 1.035844 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Fawn Brk West Hartford CT 06117-1032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-02-28 |
| Effective Date | 2012-06-01 |
| Expiration Date | 2013-05-31 |
| Refresh Date | 2013-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 181717 | CSP.0025323 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 12 FAWN BRK |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susanne Shrader Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin W Roland | 3 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Julie N Rome | 25 Fawn Brk, West Hartford, CT 06117-1032 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Ethan Z Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-05-09 ~ 2021-01-01 |
| Deena G Sisitsky | 17 Fawn Brk, West Hartford, CT 06117-1032 | Real Estate Salesperson | ~ |
| Suzanne M Batchelor | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-03-06 ~ 2021-01-01 |
| Nathaniel Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2017-06-23 ~ 2021-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pasetti Colle Civetta Abruzzo Pecorino | Ct Brand Registrattion, Hartford, CT 06106 | Liquor Brand Label | 2013-12-11 ~ 2016-12-10 |
| Claire M Civetta | 12 Wyndham Rd, Scarsdale, NY 10583-3634 | Real Estate Salesperson | 2015-12-10 ~ 2016-05-31 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph M Ossorio | Po Box 562966, Miami, FL 33256-2966 | Physician/surgeon | ~ |
| Joseph F. Skowron IIi | 16 Doubling Rd, Greenwich, CT 06830-4846 | Physician/surgeon | ~ |
| 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 |
| Joseph T Culverwell | 629 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1999-07-12 ~ 2000-07-31 |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JOSEPH M CIVETTA MD.
| 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).