KELLY D MAZZA (Credential# 766009) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2020. The license status is ACTIVE.
KELLY D MAZZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001774. The credential type is nursing home administrator. The effective date is October 1, 2018. The expiration date is September 30, 2020. The business address is 582 Bound Line Rd, Wolcott, CT 06716. The current status is active.
| Licensee Name | KELLY D MAZZA |
| Credential ID | 766009 |
| Credential Number | 36.001774 |
| Credential Type | Nursing Home Administrator |
| Business Address |
582 Bound Line Rd Wolcott CT 06716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-03-31 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2018-11-02 |
| Street Address | 582 BOUND LINE RD |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | WOLCOTT |
| Zip Code | 06716 |
| License Type | Nursing Home Administrator |
| License Type + County | Nursing Home Administrator + WOLCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shanice N Kelly | 164 Shell St, Bridgeport, CT 06605-2724 | Nursing Home Administrator | ~ |
| Siobhan Kelly | 421 Main St, Cromwell, CT 06416 | Nursing Home Administrator | 1993-02-25 ~ 1994-03-31 |
| John A Kelly | 127 Guinevere Rdg, Cheshire, CT 06410 | Nursing Home Administrator | 2019-07-01 ~ 2021-06-30 |
| Denise L Kelly Bryan | 65 Brewer St, East Hartford, CT 06118-2103 | Nursing Home Administrator | ~ |
| Kelly A Moline | 1237 W Monroe St, Springfield, IL 62704-1680 | Nursing Home Administrator | 2014-05-01 ~ 2016-04-30 |
| Cheryl A Kelly | 64 Andrew Street, Middletown, CT 06457 | Nursing Home Administrator | 2012-06-01 ~ 2014-05-31 |
| Megan K Anderson · Kelly | 11 Arapaho Road, Brookfield, CT 06804 | Nursing Home Administrator | 2008-07-02 ~ 2010-08-31 |
| Amanda O Penamon · Mandy Kwarteng : Mk's Gold Coast Spice | 20 Kelly Rd, South Windsor, CT 06074-3118 | Nursing Home Administrator | 2019-04-11 ~ 2020-10-31 |
| Michael E Bell | CT | Nursing Home Administrator | ~ |
| Patrick W Lyons | CT | Nursing Home Administrator | ~ |
Please comment or provide details below to improve the information on KELLY D MAZZA.
| 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).