MARIO A GROSSO
Controlled Substance Registration for Practitioner


Address: 84 Round Hill Rd Apt D, Northampton, MA 01060-2281

MARIO A GROSSO (Credential# 288500) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 17, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MARIO A GROSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031474. The credential type is controlled substance registration for practitioner. The effective date is May 17, 2013. The expiration date is February 28, 2015. The business address is 84 Round Hill Rd Apt D, Northampton, MA 01060-2281. The current status is inactive.

Basic Information

Licensee Name MARIO A GROSSO
Credential ID 288500
Credential Number CSP.0031474
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 84 Round Hill Rd Apt D
Northampton
MA 01060-2281
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-05-17
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
557425 1.039842 Physician/Surgeon 2001-08-31 2013-05-01 - 2014-04-30 INACTIVE

Office Location

Street Address 84 ROUND HILL RD APT D
City NORTHAMPTON
State MA
Zip Code 01060-2281

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Competitor

Search similar business entities

City NORTHAMPTON
Zip Code 01060
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHAMPTON

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Dataset Information

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).

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