JOHN J MAZZUCCO MD (Credential# 549566) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JOHN J MAZZUCCO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031891. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 219 Grassy Hill Rd, Woodbury, CT 06798-3101. The current status is active.
| Licensee Name | JOHN J MAZZUCCO MD |
| Credential ID | 549566 |
| Credential Number | 1.031891 |
| Credential Type | Physician/Surgeon |
| Business Address |
219 Grassy Hill Rd Woodbury CT 06798-3101 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-09-06 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157738 | CSP.0020646 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 219 GRASSY HILL RD |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-3101 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol E Mazzucco | 219 Grassy Hill Rd, Woodbury, CT 06798 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Sienkiewicz | 233 Grassy Hill Rd, Woodbury, CT 06798-3101 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter J Mazzucco Jr · Mazzucco Electric | Mazzucco Electric LLC, Fairfield, CT 06825 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Susan A Mazzucco · John E. Bruno | 40 Chambers Rd, Danbury, CT 06811 | Real Estate Salesperson | 2002-06-06 ~ 2003-05-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John N Matheson | Po Box 127, Waverley Nsw, 2024 | Physician/surgeon | 1996-01-17 ~ 1996-12-31 |
| John J Roh | 12 Little Brook Ln, Weston, CT 06883-2233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| John T Rigney | Po Box 252, Chappaqua, NY 10514 | Physician/surgeon | 1998-09-17 ~ 1999-09-30 |
| John F. Whitney | R-5l, Albany, NY 12211 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| John S Marr | 22 Lia Fail Way, Cos Cob, CT 06807 | Physician/surgeon | 2003-07-24 ~ 2004-04-30 |
Please comment or provide details below to improve the information on JOHN J MAZZUCCO MD.
| 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).