CAROLYN MIZE (Credential# 1171008) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
CAROLYN MIZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055106. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 927 Alan Dr, Wantagh, NY 11793-1041. The current status is lapsed.
| Licensee Name | CAROLYN MIZE |
| Credential ID | 1171008 |
| Credential Number | CSP.0055106 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
927 Alan Dr Wantagh NY 11793-1041 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-07-02 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1357422 | 1.055684 | Physician/Surgeon | 2016-09-01 | 2017-10-01 - 2018-09-30 | INACTIVE |
| Street Address | 927 ALAN DR |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-1041 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William H Devlin | 3125 Lawrence Pl, Wantagh, NY 11793 | Architect | 2020-08-01 ~ 2021-07-31 |
| Action Remediation Inc. | 3010 Burns Avenue, Wantagh, NY 11793 | Asbestos Contractor | 2019-01-01 ~ 2019-12-31 |
| Jessica M Phelan | 96 Trellis Lane, Wantagh, NY 11793 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Lauren K Fagan | 345 Red Maple Dr S, Wantaugh, NY 11793 | Audiologist | 2020-06-01 ~ 2021-05-31 |
| Mary Elizabeth Walsh | 3278 Woodward Ave., Wantagh, NY 11793 | Registered Nurse | ~ |
| Michael P Loney | 1372 Chelsea Rd, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Cyrus Joseph Izzo | 3454 Island Road, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven M Pires | 42 Wisteria Lane, Wantagh, NY 11793 | Notary Public Appointment | 2007-03-22 ~ 2012-03-31 |
| Lyncean Ung | 815 Park Drive, New York, NY 11793 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denise E Breeze | 2845 Charles Rd, Wantagh, NY 11793 | Pharmacy Intern | 2018-09-06 ~ 2022-09-30 |
| Find all Licenses in zip 11793 | |||
| City | WANTAGH |
| Zip Code | 11793 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WANTAGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Haviland Mize | 16103 Hunter's Pond Trail, Centreville, VA 20120 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn R Blicharz Dmd | Po Box 222, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn Swain Dds | Po Box 482, Fairfield, CT 06824-0482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn K Mcgrath Md | 300 Front St #107, Pawtucket, RI 02868 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carolyn Thai | 63 Sutton Dr, Vernon, CT 06066-5717 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carolyn Fetzer Dmd | 100 Butternut Ln, Southington, CT 06489-3860 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carolyn M Weinberg Dvm | 231 Clapboard Rd, Bridgewater, CT 06752-1339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn K Mccourt Md | 101 Dudley St, Providence, RI 02905-2401 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn J. Presley | 50 Carroll Rd., Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn R Simmelink | 117 Cross Hwy, Redding, CT 06896-2406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).