LOUIS MAZZARELLI MD (Credential# 473304) 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.
LOUIS MAZZARELLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041597. 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 18 Darrows Ridge Road, East Lyme, CT 06333. The current status is active.
| Licensee Name | LOUIS MAZZARELLI MD |
| Credential ID | 473304 |
| Credential Number | CSP.0041597 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
18 Darrows Ridge Road East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-06-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562697 | 1.045115 | Physician/Surgeon | 2007-02-07 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 18 DARROWS RIDGE ROAD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mina Louis Habib Boutrous | 8814 Oak Creek Dr, Saint Louis, MO 63126-2130 | Controlled Substance Registration for Practitioner | 2019-11-19 ~ 2021-02-28 |
| Louis R Neumann Od | Po Box 527, Portland, CT 06480-0527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira Louis Salom | Po Box 147, Torrington, CT 06790-0147 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Myung Hee Nam | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Controlled Substance Registration for Practitioner | 2019-10-22 ~ 2021-02-28 |
| Louis M Morel | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Louis N Manganas | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Louis Meyer | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Louis J Leblanc Md | Em Department, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis A Coulson Md | 58 Ridgewood Ave, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wei-i Su | 1425 Bellevue Ave, Saint Louis, MO 63117-2314 | Controlled Substance Registration for Practitioner | 2017-05-23 ~ 2019-02-28 |
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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).