GEORGE F FULLER MD (Credential# 892748) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GEORGE F FULLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046417. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 59 Pulaski Highway, Ansonia, CT 06401-2828. The current status is active.
| Licensee Name | GEORGE F FULLER MD |
| Credential ID | 892748 |
| Credential Number | CSP.0046417 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
59 Pulaski Highway Ansonia CT 06401-2828 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546318 | 1.027003 | Physician/Surgeon | 1986-01-30 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 59 Pulaski Highway |
| City | Ansonia |
| State | CT |
| Zip Code | 06401-2828 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaime S Stevens | 67 Pulaski Hwy, Ansonia, CT 06401-2828 | Provisional Real Estate Appraiser | 2015-05-01 ~ 2016-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lynn Kunstadt | 7 Belleview Terrave, Ansonia, CT 06401 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mann Inc | 505 Main St, Ansonia, CT 06401 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Domino's Pizza · Nbs Pizza Inc Dba | 137 N Main St, Ansonia, CT 06401 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lisa Dilorenzo Sardo | 37 Kathy Lane, Ansonia, CT 06401 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Christi Lynn Crumb | 73 Woodbridge Ave, Ansonia, CT 06401 | Notary Public Appointment | 2020-04-09 ~ 2025-04-30 |
| Maureen E Witzmann | 68 Granite Terrace, Ansonia, CT 06401 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anthony Wayne Md | 20 Westfield Avenue, Ansonia, CT 06401 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond P Ragaini | 30 Winter Street, Ansonia, CT 06401 | Notary Public Appointment | 2017-07-01 ~ 2022-06-30 |
| Margaret Rivera | 34 Church Street, Ansonia, CT 06401 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nadine Frey · Tonucci | 7 North Coe Lane, Ansonia, CT 06401 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06401 | |||
| City | Ansonia |
| Zip Code | 06401 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ansonia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle J Fuller | Po Box 530, Wauregan, CT 06387-0530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kisti D Fuller | 24 Elm Dr, West Hartford, CT 06110-1007 | Controlled Substance Registration for Practitioner | 2013-03-12 ~ 2015-02-28 |
| S Steven Wolfson Md | 83 Fuller Dr, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Monika V Fuller | 90 Nichole Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela Eze | 118 Fuller Drive, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert P Fuller | 200 Fern St, West Hartford, CT 06119-1164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce W Fuller | 120 Marvelwood Drive, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Breanne Lee Fuller | 2437 Bedford St Unit F7, Stamford, CT 06905-3924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Chahine | 300 George Street Suite 901, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-06-26 ~ 2021-02-28 |
| J Barden Fuller Dds | 1090 Meriden-wtby Tpke Ste 2, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).