Herbert J Dimeola Md Controlled Substance Registration for Practitioner
112 Kozley Road, Tolland, CT 06084


Herbert J Dimeola Md is licensed in the eLicensing system of Connecticut. The license credential ID is 150076. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 112 Kozley Road, Tolland, CT 06084. The zip code is 06084.


Herbert J Dimeola Md · 112 Kozley Road, Tolland, CT 06084

Credential ID 150076
Name HERBERT J DIMEOLA MD
Type INDIVIDUAL
Address 112 KOZLEY ROAD
TOLLAND, CT 06084
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0003286
Credential Type CSP
Credential Number 3286
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/26/2015

HERBERT J DIMEOLA MD · Connecticut Business

Herbert J Dimeola Md · Physician/surgeon 112 Kozley Road, Tolland, CT 06084

Zip 06084 · Controlled Substance Registration for Practitioner · Connecticut Business

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