MARIO CAPUZZI MD (Credential# 560114) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARIO CAPUZZI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042532. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3526 Hebron Ave, Glastonbury, CT 06033-2846. The current status is active.
| Licensee Name | MARIO CAPUZZI MD |
| Credential ID | 560114 |
| Credential Number | 1.042532 |
| Credential Type | Physician/Surgeon |
| Business Address |
3526 Hebron Ave Glastonbury CT 06033-2846 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-06-09 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 433043 | CSP.0038961 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1053464 | CSP.0052022 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 369731 | CSP.0034886 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-02 | 2005-03-01 - 2006-02-28 | INACTIVE |
| 1031912 | CSP.0051350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 3526 HEBRON AVE |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2846 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuradha Kapur Md | 3500 Hebron Ave, Glastonbury, CT 06033-2846 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Wendy L Marques | 3514 Hebron Ave, Glastonbury, CT 06033-2846 | Bingo Operator | 2014-01-09 ~ |
| Dondero Orchards Mountain View Farms | 3582 Hebron Ave, Glastonbury, CT 06033-2846 | Retail Dairy Store | 2012-06-22 ~ 2013-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mario A Fierro | 437 Desoto Ave, El Paso, TX 79912 | Physician/surgeon | 2002-08-30 ~ 2003-03-31 |
| Mario Testani Jr | 323 Winthrop Ave Apt C2, New Haven, CT 06511-4338 | Physician/surgeon | 1985-07-12 ~ 1987-07-31 |
| Mario Tuchman | 145 E 81st St Apt 7d, New York, NY 10028-1869 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Mario P Rocco Md | 500 New Britain Ave, Hartford, CT 06106 | Physician/surgeon | 1998-12-11 ~ 1999-09-20 |
| Mario J Garcia | 182 Alexender Ave., Bridgeport, CT 06606 | Physician/surgeon | 1989-08-17 ~ 1992-11-30 |
| Mario W Katigbak | 85 Seymour St Ste 227, Hartford, CT 06106-5523 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mario D Saltarelli | 252 Franklin Street, Newton, MA 02458 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mario Cordova | 13 Emery Drive, Atkinson, NH 03811 | Physician/surgeon | 1995-02-03 ~ 1996-02-29 |
| Mario A Castillo | 804 Blackshire Road, Wilmington, DE 19805 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Mario Anwar Pinto | 231 W 122nd St Apt 1, New York, NY 10027-5670 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MARIO CAPUZZI 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).