KATE B MASTRONUNZIO PA-C (Credential# 483668) 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.
KATE B MASTRONUNZIO PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042652. 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 428 Church St, Amston, CT 06231-1604. The current status is active.
| Licensee Name | KATE B MASTRONUNZIO PA-C |
| Credential ID | 483668 |
| Credential Number | CSP.0042652 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
428 Church St Amston CT 06231-1604 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-09-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743716 | 23.001967 | Physician Assistant | 2007-09-14 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 844011 | 70.004278 | Emergency Medical Technician | 2003-11-19 | 2007-03-13 - 2009-03-31 | INACTIVE |
| Street Address | 428 CHURCH ST |
| City | AMSTON |
| State | CT |
| Zip Code | 06231-1604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joshua M Koplowitz | 460 Church St Apt 4, Amston, CT 06231-1604 | Emergency Medical Technician | 2011-04-02 ~ 2014-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zhen Feng | 102 B3 Wellswood Rd, Amston, CT 06231 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosalie Ann Simichak | 70 Grayville Rd, Amston, CT 06231 | Professional Counselor | 2020-06-25 ~ 2020-09-30 |
| Sheila M Cordner | 208 Reidy Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Peter A Ciotto | 139 Burrows Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Kathryn L Hnat | 101 Old Colchester Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lena Ann Rabbitt | 86 Smith Farm Road, Amston, CT 06231 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Cameron Michael Lettieri | 351 Old Colchester Road, Amston, CT 06231 | Emergency Medical Technician | ~ |
| Gillian Denizkurt | 22 Heron Hill, Hebron, CT 06231 | Emergency Medical Technician | ~ |
| Terri P Hayes | 246 Old Hartford Road, Amston, CT 06231 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Justin P Toussaint | 116 Cannon Drive, Amston, CT 06231 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in zip 06231 | |||
| City | AMSTON |
| Zip Code | 06231 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AMSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kate E Felter | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kate O Echeverria | 225 Constitution Ct Apt 304, Johnston, RI 02919-4696 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kate A Murray Md | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sam Cheng Md | 61 Kate Vue Drive, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1999-04-20 ~ 2000-02-28 |
| Kate E Krempasky | 103 Ansonia Rd, Woodbridge, CT 06525-2503 | Controlled Substance Registration for Practitioner | 2019-10-08 ~ 2021-02-28 |
| Kate D Remauro | 373 Griswold St, Glastonbury, CT 06033-1233 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine E Allen | 112 Kate Ln, Tolland, CT 06084-3559 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kate K Miller Md | 43 Seabreeze Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kate E Humphrey | 273 Niles Rd, New Hartford, CT 06057-4231 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Emily M Melendez | 30 Kate Ln, Tolland, CT 06084-3514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATE B MASTRONUNZIO PA-C.
| 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).