JUAN J MALLARI (Credential# 554672) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JUAN J MALLARI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037082. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 6 Reed Avenue, Waterford, CT 06385. The current status is active.
| Licensee Name | JUAN J MALLARI |
| Credential ID | 554672 |
| Credential Number | 1.037082 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Reed Avenue Waterford CT 06385 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-10 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 349355 | CSP.0034024 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE | |
| 157305 | CSP.0027352 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-08-17 - 1999-02-28 | INACTIVE |
| Street Address | 6 REED AVENUE |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher A Mallari Pa | 5214 Town Walk Dr, Hamden, CT 06518 | Physician Assistant | 2004-05-17 ~ 2005-07-31 |
| Juan Garcia, Md | 22 Church Road, Sherman, CT 06784 | Physician/surgeon | ~ |
| Paul E Juan Md | 25 Valley Dr, Greenwich, CT 06831-5203 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Juan A Sanchez Md | 900 Caton Ave, Baltimore, MD 21229-5201 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Juan B Grau | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | Physician/surgeon | 1999-09-02 ~ 2000-07-31 |
| Jesus R Casal | B-30 Poppy St, San Juan, PR 00926 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Leonardo Pirillo | 139 Carr 177 Apt 1503, San Juan, PR 00926 | Physician/surgeon | ~ |
| Juan M Baez | 39 N River Dr, Beacon, NY 12508 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Juan Rosai | 310 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 1985-08-20 ~ 1988-08-31 |
| Juan C. Vasquez | 161 Limewood, Branford, CT 06405-5446 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JUAN J MALLARI.
| 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).