MARY L ZOZULIN MD (Credential# 559739) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARY L ZOZULIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042157. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 60 Westwood Ave Ste 200, Waterbury, CT 06708-2460. The current status is active.
| Licensee Name | MARY L ZOZULIN MD |
| Credential ID | 559739 |
| Credential Number | 1.042157 |
| Credential Type | Physician/Surgeon |
| Business Address |
60 Westwood Ave Ste 200 Waterbury CT 06708-2460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-02-18 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 364822 | CSP.0034658 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 60 WESTWOOD AVE STE 200 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia L Tejeda | 60 Westwood Ave Ste 200, Waterbury, CT 06708-2460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark S Defrancesco | Suite 200, Waterbury, CT 06708-2460 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Martin J Spinella | 60 Westwood Ave Ste 4, Waterbury, CT 06708-2460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher J Loughlin Md | 60 Westwood Ave, Waterbury, CT 06708-2460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Albert R Marano | 60 Westwood Ave, Waterbury, CT 06708-2460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary Fiel-gan | 7 Trumbull Ln, Farmington, CT 06032-3061 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Mary Fraga | 26 Clinton Ave, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary L Newport | 22 Avonridge, Avon, CT 06001 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Mary K Smentek | 78 Olive St #318, New Haven, CT 06510 | Physician/surgeon | 2006-02-06 ~ 2007-02-28 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary P Olsen | 16 Main St, Farmington, CT 06032-2230 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).