MARIANNA G MAVILIA (Credential# 1488666) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
MARIANNA G MAVILIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058061-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 17 Flatbrook Rd, East Hampton, CT 06424-1625. The current status is active.
| Licensee Name | MARIANNA G MAVILIA |
| Credential ID | 1488666 |
| Credential Number | 1.058061-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
17 Flatbrook Rd East Hampton CT 06424-1625 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-28 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1352351 | CSP.0062629 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 17 FLATBROOK RD |
| City | EAST HAMPTON |
| State | CT |
| Zip Code | 06424-1625 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin D Scranton | 17 Flatbrook Rd, East Hampton, CT 06424-1625 | Emergency Medical Technician | 2017-04-21 ~ 2020-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia L Griswold · Lynn | 28 Flatbrook Rd, East Hampton, CT 06424-1625 | Emergency Medical Technician | 2020-04-01 ~ 2023-03-31 |
| White Oak Modular Builders LLC | 54 Flatbrook Rd, East Hampton, CT 06424-1625 | New Home Construction Contractor | 2015-10-09 ~ 2017-09-30 |
| Dante J Petruzziello | 20 Flatbrook Rd, East Hampton, CT 06424-1625 | Emergency Medical Technician | 2018-01-29 ~ 2020-07-01 |
| Ct Green Homes LLC | 54 Flatbrook Rd, East Hampton, CT 06424-1625 | New Home Construction Contractor | 2013-04-10 ~ 2013-09-30 |
| Keith Griswold | 28 Flatbrook Rd, East Hampton, CT 06424-1625 | Engineer-in-training | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert P Zipoli · Zip's Home Improvement | 38 Town Farm Rd, East Hampton, CT 06424 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Timothy R Cirillo | 7 Bevin Blvd., East Hampton, CT 06424 | Sub-surface Sewage Cleaner | 2020-07-01 ~ 2021-06-30 |
| Quentin D Walton | 15 Sherry Dr, East Hampton, CT 06424 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Stephanie M. Miller | 11 Browning Drive, East Hampton, CT 06424 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Humphreys Pharmacal Inc | 31 East High Street, East Hampton, CT 06424 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Robert A Sehl | 72 Childs Road, East Hampton, CT 06424 | Water Treatment Plant Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Debra Ann Licht Mayer | 28 North Cone Road, East Hampton, CT 06424 | Registered Nurse | ~ |
| Patrick U Hammond | 66 Charles Mary Dr, East Hampton, CT 06424 | Backflow Prevention Device Tester | 2020-04-01 ~ 2023-03-31 |
| Kayla Commesso | 7 Sherry Dr, East Hampton, CT 06424 | Medication Administration Certification | 2020-06-22 ~ 2022-06-22 |
| Lauren R Mechanic | 11 South Ridge, East Hampton, CT 06424 | Barber | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06424 | |||
| City | EAST HAMPTON |
| Zip Code | 06424 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + EAST HAMPTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marianna V. Papageorge | 20 York Street, New Haven, CT 06450 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Ice River Springs Marianna LLC | 3521 Russell Rd, Marianna, FL 32446-7934 | Non-alcoholic Beverage & Water Bottlers | ~ |
| Marianna Lorensen Cpa | 50 Deer Hill Road, Southbury, CT 06488 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Marianna Yanover | 65 Wolfpit Ave Apt 4b, Norwalk, CT 06851-4258 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Marianna Valentine Cordovano | 134 Highland Ave, Norwalk, CT 06853-1315 | Physician Assistant | 2018-09-28 ~ 2018-12-31 |
| Marianna's Bell Top Bakery | 212 W Main St, Meriden, CT 06450 | Frozen Dessert Retailer | 1996-09-19 ~ 1996-12-31 |
| Marianna's Belltop Bakery · Irene Bongiavonni Owner | 212 West Main St, Meriden, CT 06450 | Bakery | 2019-07-01 ~ 2020-06-30 |
| Vincent J Mavilia · Burgers and Buns | 35 Lanesville Rd, New Milford, CT 06776 | Cafe Liquor | ~ |
| Arlene M Mavilia | 3724 Amesbury Lane, Sarasota, FL 34232 | Registered Nurse | 2007-11-21 ~ 2008-11-30 |
| Mavilia Martinez · Ashley Food Market | 717 Kossuth St, Bridgeport, CT 06608-1906 | Grocery Beer | 2010-07-27 ~ 2011-07-23 |
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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).