JOSEPH R MASCOLO (Credential# 1671263) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOSEPH R MASCOLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071695. The credential type is controlled substance registration for practitioner. The effective date is June 25, 2019. The expiration date is February 28, 2021. The business address is 115 West Rd Apt 3821, Ellington, CT 06029-5714. The current status is active.
| Licensee Name | JOSEPH R MASCOLO |
| Credential ID | 1671263 |
| Credential Number | CSP.0071695 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
115 West Rd Apt 3821 Ellington CT 06029-5714 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-25 |
| Effective Date | 2019-06-25 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1178955 | 10.114099 | Registered Nurse | 2013-10-11 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1667085 | 12.008261 | Advanced Practice Registered Nurse | 2019-06-20 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 898577 | HTG.0401086-D2 | HEATING, PIPING & COOLING LIMITED JOURNEYPERSON | 2009-09-28 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 115 WEST RD APT 3821 |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-5714 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith M Mascolo Md | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| St Joseph's Manor | 6448 Main Street, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2000-12-22 |
| Joseph E Grasso Dds · University of Connecticut | Joseph Grasso Dds, Farmington, CT 06030-1615 | Controlled Substance Registration for Practitioner | 2017-03-27 ~ 2019-02-28 |
| St Joseph's Hospital | 128 Strawberry Hill Ave, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Joseph Tomanelli | Joseph T Tomanelli, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph Flanagan M.d. · Joseph Flanagan, M.d. | Ct Juvenile Training School/long Lane School, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Joseph H Mastromarino | Po Box 654, Hampton, NH 03843-0654 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Joseph R Polidoro | P.o. Box 256, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Joseph Ajdinovich | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph I Matthews Md | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Controlled Substance Registration for Practitioner | 2011-08-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JOSEPH R MASCOLO.
| 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).