JAMES Thomas MAZZARA MD (Credential# 160855) 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.
JAMES Thomas MAZZARA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019600. 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 Connecticut Center for Orthopedic Surgery, LLC, Manchester, CT 06040. The current status is active.
| Licensee Name | JAMES Thomas MAZZARA MD |
| Credential ID | 160855 |
| Credential Number | CSP.0019600 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Connecticut Center for Orthopedic Surgery, LLC Manchester CT 06040 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549144 | 1.031398 | Physician/Surgeon | 1991-03-18 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | CONNECTICUT CENTER FOR ORTHOPEDIC SURGERY, LLC |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| James Thomas Murphy | Eye Center of Southern Connecticut, PC, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas J Lee | 123 York St Apt 14a, New Haven, CT 06511-5696 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas J May Do | 50 Brookmoor Rd, Avon, CT 06001-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cara Thomas | 173 Blackberry Dr, Stamford, CT 06903-1207 | Controlled Substance Registration for Practitioner | 2013-08-06 ~ 2015-02-28 |
| Thomas F Mccarthy | 134 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 1994-01-05 ~ 1996-01-01 |
| Elizabeth Thomas | 120 Connecticut Ave, Norwalk, CT 06854-1525 | Controlled Substance Registration for Practitioner | 2019-11-12 ~ 2021-02-28 |
| Thomas A Morris Pa-c | 45 Maler Ave, Shelton, CT 06484-5925 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Listy A Thomas Md | 99 Aspen Ln, Trumbull, CT 06611-1438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).