FERNANDO E OTTINO
Physician/surgeon


Address: 40 Prospect Ave., Norwalk, CT 06850

FERNANDO E OTTINO (Credential# 565406) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 19, 2009. The license expiration date date is November 30, 2009. The license status is INACTIVE.

Business Overview

FERNANDO E OTTINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047824. The credential type is physician/surgeon. The effective date is June 19, 2009. The expiration date is November 30, 2009. The business address is 40 Prospect Ave., Norwalk, CT 06850. The current status is inactive.

Basic Information

Licensee Name FERNANDO E OTTINO
Credential ID 565406
Credential Number 1.047824
Credential Type Physician/Surgeon
Business Address 40 Prospect Ave.
Norwalk
CT 06850
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-06-19
Effective Date 2009-06-19
Expiration Date 2009-11-30
Refresh Date 2010-03-16

Office Location

Street Address 40 Prospect Ave.
City Norwalk
State CT
Zip Code 06850

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Licensee Name Office Address Credential Effective / Expiration
Benjamin A Tsao 40 Prospect Ave., Norwalk, CT 06850-3737 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Erin L Weynand 40 Prospect Ave., Norwalk, CT 06850 Physician Assistant 2009-01-28 ~ 2010-03-31
Amy L Drusak 40 Prospect Ave., Norwalk, CT 06850 Physician Assistant 2009-01-23 ~ 2009-07-31

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Competitor

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City Norwalk
Zip Code 06850
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Norwalk

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Dataset Information

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).

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