CRISTINA MALLOZZI (Credential# 1488266) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 26, 2017. The license expiration date date is July 4, 2021. The license status is ACTIVE.
CRISTINA MALLOZZI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057683-RES. The credential type is resident physician. The effective date is June 26, 2017. The expiration date is July 4, 2021. The business address is 58 Dublin Hill Rd, Higganum, CT 06441-4128. The current status is active.
Licensee Name | CRISTINA MALLOZZI |
Credential ID | 1488266 |
Credential Number | 1.057683-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
58 Dublin Hill Rd Higganum CT 06441-4128 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-06-26 |
Effective Date | 2017-06-26 |
Expiration Date | 2021-07-04 |
Refresh Date | 2018-05-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1440748 | CSP.0066491 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
1159519 | 70.016174 | Emergency Medical Technician | 2013-04-26 | 2013-04-26 - 2015-10-01 | INACTIVE |
Street Address | 58 DUBLIN HILL RD |
City | HIGGANUM |
State | CT |
Zip Code | 06441-4128 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stanley J Raczka Jr | 30 Dublin Hill Rd, Higganum, CT 06441-4128 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06441 |
City | HIGGANUM |
Zip Code | 06441 |
License Type | Resident Physician |
License Type + County | Resident Physician + HIGGANUM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cristina Carpio | 21 Bertrose Ave, Milford, CT 06460-5905 | Resident Physician | 2014-06-26 ~ 2020-06-30 |
Angelo P Mallozzi | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2023-06-30 |
Mallozzi Builder Inc | 48 Cross Hill Rd, Monroe, CT 06468 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
Angelo Mallozzi · Angelo Mallozzi Masonry | 93 Comstock Hill Ave, Norwalk, CT 06850-1010 | Home Improvement Contractor | 2016-01-05 ~ 2016-11-30 |
Mallozzi Builders LLC | 48 Cross Hill Rd, Monroe, CT 06468-2401 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Mallozzi Const Co., Inc | P.o.box 2127, Stamford, CT 06906 | Demolition Contractor | 1997-01-01 ~ 1997-12-31 |
Orlando Mallozzi LLC | 265 Roosevelt Dr, Derby, CT 06418 | Retail Gasoline Dealer | 2000-11-01 ~ 2001-10-31 |
Mallozzi Construction Services LLC | 80 Largo Drive, Stamford, CT 06907 | Demolition Contractor | 2010-04-01 ~ 2011-03-31 |
Mallozzi Construction Service LLC | 80 Largo Drive, Stamford, CT 06907 | Home Improvement Contractor | 2008-12-26 ~ 2009-11-30 |
Angela Mallozzi Eberle | 900 Valley Rd, Melrose Park, PA 19126 | Physician/surgeon | 1993-03-24 ~ 1994-02-28 |
Please comment or provide details below to improve the information on CRISTINA MALLOZZI.
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).