GEOFFREY E FERRUCCI PA Physician Assistant

Address:
69 Oak Leaf Dr, Waterbury, CT 06708

GEOFFREY E FERRUCCI PA (Credential# 743213) is Physician Assistant licensed with Connecticut Department of Consumer Protection. The license expiration date is 2018-09-30.

Business Overview

Name GEOFFREY E FERRUCCI PA
Credential ID 743213
Credential Code 23.001464
Credential Physician Assistant
Address 69 Oak Leaf Dr
Waterbury
CT 06708
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-03-17
Effective Date 2017-10-01
Expiration Date 2018-09-30
Refresh Date 2017-08-14

Other licenses

ID Credential Code Credential Type Term Status
374970 CSP.0035271 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-01 - 2019-02-28 ACTIVE
865663 70.931633 Emergency Medical Technician - 2002-07-01 INACTIVE

Office Location

Street Address 69 OAK LEAF DR
City WATERBURY
State CT
Zip Code 06708

Entities with the same location

Name Office Address Expiration Date
GEOFFREY E FERRUCCI PA 69 Oak Leaf Dr, Waterbury, CT 06708 2019-02-28
GEOFFREY E FERRUCCI PA 69 Oak Leaf Dr, Waterbury, CT 06708 2002-07-01

Competitor

Search similar business entities

City WATERBURY
Zip Code 06708
License Type Physician Assistant
License Type + County Physician Assistant + WATERBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).