MALLORY GROSSO (Credential# 1627776) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MALLORY GROSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070144. The credential type is controlled substance registration for practitioner. The effective date is January 23, 2019. The expiration date is February 28, 2021. The business address is 515 West Ave Apt Ph38, Norwalk, CT 06850-4047. The current status is active.
| Licensee Name | MALLORY GROSSO |
| Credential ID | 1627776 |
| Credential Number | CSP.0070144 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
515 West Ave Apt Ph38 Norwalk CT 06850-4047 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-23 |
| Effective Date | 2019-01-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1621622 | 23.004368 | Physician Assistant | 2019-01-23 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 515 WEST AVE APT PH38 |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-4047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly N Dysinger | 515 West Ave Apt 496, Norwalk, CT 06850-4047 | Dental Hygienist | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Grosso | 44 Ruscoe Rd, Wilton, CT 06897-1424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle Grosso Md | 249 Helena Ave, Yonkers, NY 10710-2103 | Controlled Substance Registration for Practitioner | 2011-04-12 ~ 2013-02-28 |
| Mario A Grosso | 84 Round Hill Rd Apt D, Northampton, MA 01060-2281 | Controlled Substance Registration for Practitioner | 2013-05-17 ~ 2015-02-28 |
| Katherine Calvert Grosso | 2031 Waverly St Apt A, Philadelphia, PA 19146-1342 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
| Danielle Lee Mallory | 141 Way Rd, Salem, CT 06420-3716 | Controlled Substance Registration for Practitioner | 2019-07-03 ~ 2021-02-28 |
| Mallory Iverson | 192 E Center St, Manchester, CT 06040-5210 | Controlled Substance Registration for Practitioner | ~ |
| Mallory Logsdon | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory M Przybylski | 150 Front St, New Haven, CT 06513-3929 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joseph Farah | 64 Mallory Road, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mallory S Breitmaier | 32 Farm Gate Rd, Colchester, CT 06415-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MALLORY GROSSO.
| 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).