EDUARDO P SICCION MD (Credential# 559499) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
EDUARDO P SICCION MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041916. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 3 Brookfield Ave, Fairfield, CT 06825-1907. The current status is inactive.
| Licensee Name | EDUARDO P SICCION MD |
| Credential ID | 559499 |
| Credential Number | 1.041916 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Brookfield Ave Fairfield CT 06825-1907 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-10-10 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 357379 | CSP.0034416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-05-10 | 2015-08-21 - 2017-02-28 | INACTIVE |
| 508272 | CSP.0043796 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-09 | 2008-09-09 - 2009-02-28 | INACTIVE |
| Street Address | 3 BROOKFIELD AVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1907 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas Chavenello | 3 Brookfield Ave, Fairfield, CT 06825-1907 | Emergency Medical Technician | 2020-01-29 ~ 2023-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Yorke | 45 Brookfield Ave, Fairfield, CT 06825-1907 | Hairdresser/cosmetician | 2016-05-01 ~ 2018-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eduardo S Ramirez | 40 Prospect St, Norwalk, CT 06850 | Physician/surgeon | 1992-10-23 ~ 1993-10-31 |
| Eduardo Hilario Md | 76 Main St, Jewett City, CT 06351 | Physician/surgeon | 2006-02-09 ~ 2007-02-28 |
| Eduardo M Velez | 75 Hockanum Blvd., Vernon, CT 06066 | Physician/surgeon | 2008-10-06 ~ 2009-11-30 |
| Eduardo Anhalt | 117 Orcutt Drive, Guilford, CT 06437 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Eduardo V Zambrano | 840 Still Hill Road, Hamden, CT 06518 | Physician/surgeon | 2009-07-07 ~ 2010-09-30 |
| Eduardo C Lomibao | 3741 Chipman Road, Easton, PA 18045-3011 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Eduardo G Mari | 1389 West Main St, Waterbury, CT 06708 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Eduardo Franca · Roberto | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Daniel Eduardo Urcuyo Llanes | 4625 Lindell Blvd, St. Louis, MO 63108 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Eduardo J. Pena | 2 River Lane, #2, Greenwich, CT 06807 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-04-01 ~ 2021-03-31 |
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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).