ELLEN MASCOLI-LANZA MD (Credential# 157510) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELLEN MASCOLI-LANZA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020600. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 160 Robbins St, Waterbury, CT 06708. The current status is active.
| Licensee Name | ELLEN MASCOLI-LANZA MD |
| Credential ID | 157510 |
| Credential Number | CSP.0020600 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
160 Robbins St Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550289 | 1.032687 | Physician/Surgeon | 1992-11-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 224883 | CSP.0028984 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 160 ROBBINS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Waterbury Symphony Orchestra | 160 Robbins St, Waterbury, CT 06708-2652 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Sarah A Baum Md | 160 Robbins St, Waterbury, CT 06708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elizabeth M Bailey Geib | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neysa J Mcdonald | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira J Berg | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annamuthu Krishna | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cynthia C Roque | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Neil B Vitale Md | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| James A Ferraro Dds | 160 Robbins St, Waterbury, CT 06708 | Dentist | 2006-03-29 ~ 2007-05-31 |
| Paul A Kraus | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas M Mascoli Jr | 1625 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Seren Lanza Dvm | 1302 Post Rd, Darien, CT 06820-5416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gwendoline F Yvonne Lanza Md | 20 Val-kill Drive, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ellen R Prasinos | 18 Oak Ave, Madison, CT 06443-2840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen S. Pappano Md | 36 Haverford St, Hamden, CT 06517-1909 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ellen Drazner Dmd | 14 Miller Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen J Robinson Md | 141 Elizabeth St., Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen M Struzziero | 12 Woods Run, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen R Fischbein | 355 Highland Ave, Cheshire, CT 06410-2551 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen H De Moll | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
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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).