NICHOLAS M MASCOLI JR (Credential# 148045) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
NICHOLAS M MASCOLI JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000286. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1625 Straits Turnpike, Middlebury, CT 06762. The current status is inactive.
| Licensee Name | NICHOLAS M MASCOLI JR |
| Credential ID | 148045 |
| Credential Number | CSP.0000286 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1625 Straits Turnpike Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 540526 | 1.012909 | Physician/Surgeon | 1967-03-29 | 2012-08-01 - 2013-07-31 | INACTIVE |
| Street Address | 1625 STRAITS TURNPIKE |
| City | Middlebury |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ilya Lim | 1625 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ezpharm LLC | 1625 Straits Turnpike, Middlebury, CT 06762 | Pharmacy | 2005-09-01 ~ 2006-04-25 |
| Puddleducks Early Learning Center LLC | 1625 Straits Turnpike, Middlebury, CT 06762 | Child Care Center | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | Middlebury |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middlebury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen Mascoli-lanza Md | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas T Catanuto Md | Po Box 518, Niantic, CT 06357-0518 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicholas E Sostilio | 31 Shadows End Ln, Milford, CT 06460-3779 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 2021-02-28 |
| Nicholas R Campbell | 181 Porter Rd, Hebron, CT 06248-1224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas L Lillo | One Grove St, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen M Soika | 23 Nicholas Ave, Greenwich, CT 06831-4923 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Nicholas J Agresti | 40 Prospect Ave Apt 1-4h, Norwalk, CT 06850-3714 | Controlled Substance Registration for Practitioner | 2011-04-08 ~ 2013-02-28 |
| Nicholas K Sablan | Marb 4th Flr, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicholas Panaro | 664 Stoneleigh Ave, Carmel, NY 10512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas A Schwartz Md | 232 E 13th St #2a, New York, NY 10003 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
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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).