MARK P BREAZZANO (Credential# 1229913) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MARK P BREAZZANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057480. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 8047 Broadfield Rd, Manlius, NY 13104-9629. The current status is inactive.
| Licensee Name | MARK P BREAZZANO |
| Credential ID | 1229913 |
| Credential Number | CSP.0057480 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8047 Broadfield Rd Manlius NY 13104-9629 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-06-23 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| Street Address | 8047 BROADFIELD RD |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104-9629 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan V Dannenhoffer | 8472 Woodbox Rd, Manlius, NY 13104 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laurie G Cavanaugh | 167 Edwards Falls Lane, Manlius, NY 13104 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Robert Milano | 15b Carriage House E, Manlius, NY 13104 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven M Kaplan | 8203 Old Sunrdge Dr, Manlius, NY 13104 | Optometrist | 2020-01-01 ~ 2020-12-31 |
| David I Feiglin | 4728 Limberlost Ln, Manlius, NY 13104 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Karam Elsaha Bakery Co | 102 Fairgrounds Dr, Manlius, NY 13104 | Bakery | 2001-07-05 ~ 2002-06-30 |
| Nicole M Harf | 311 West Seneca St Apt 17b, Manlius, NY 13104 | Registered Nurse | 2015-09-01 ~ 2016-09-30 |
| Narindar K Bhandari · Nk Bhandari Cnslt Engrs | 8228 Verbeck Dr, Manlius, NY 13104 | Professional Engineer | 1991-01-16 ~ 1992-01-31 |
| David C Widrig | 4951 Fayetteville Manlius Rd, Manlius, NY 13104 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Jonathan L Preston | 4629 Emblem Circle, Manlius, NY 13104 | Speech and Language Pathologist | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 13104 | |||
| City | MANLIUS |
| Zip Code | 13104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANLIUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark Whelan Pa | 10 Rose St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark D Hagedorn | Po Box 1147, Waialua, HI 96791-1147 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark A Riddle | 240 Yale Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 1993-04-02 ~ 1995-04-01 |
| Mark Hwang | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-05-18 ~ 2017-02-28 |
| Mark Simone | 64 Robbins St, Waterbury, CT 06721 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Mark L Schomer | 27 Parker Rd, Marlborough, CT 06447 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark A Robbin | 720 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on MARK P BREAZZANO.
| 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).