MARIO MUTIC (Credential# 1222658) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARIO MUTIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057187. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 36 Jefferson Rd, Scarsdale, NY 10583-6436. The current status is active.
| Licensee Name | MARIO MUTIC |
| Credential ID | 1222658 |
| Credential Number | CSP.0057187 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Jefferson Rd Scarsdale NY 10583-6436 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1223120 | 1.053318 | Physician/Surgeon | 2014-07-16 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 36 JEFFERSON RD |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583-6436 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenifer M Johnson | 46 Overton Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Calin M Petrescu | 11 Crossway, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hal R Mendel | 386 Heathcote Rd, Scarsdale, NY 10583 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Barbara Exavier Clark | 34 Robin Hill Rd, Scarsdale, NY 10583 | Master's Level Social Worker | ~ |
| James A Cicalo | 11 Parkway Circle, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Erica F Christ | 20 Livingston Road, Scarsdale, NY 10583 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Paul F Waters | 55 Mamaroneck Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Russell Grant | 1198 Post Road, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gary D Beane | 60 Mount Joy Avenue, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10583 | |||
| City | SCARSDALE |
| Zip Code | 10583 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCARSDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mario F Perez Md | Po Box 266, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario J Robles Md | 25 Newell Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Mario Amleto Md | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario Q Ricci | 410 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario Sznol Md | 333 Cedar St Www222, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario J Sculco | 195 Washington Street, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Mario J D'angelo Od | 373 Main Street, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2011-10-20 ~ 2013-02-28 |
| Mario Perez | 5085 Broughton St, Roswell, GA 30075-2598 | Controlled Substance Registration for Practitioner | 2019-04-10 ~ 2021-02-28 |
| Mario A Grosso | 84 Round Hill Rd Apt D, Northampton, MA 01060-2281 | Controlled Substance Registration for Practitioner | 2013-05-17 ~ 2015-02-28 |
| Mario Strazzabosco | 333 Cedar St Rm Lmp1080, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARIO MUTIC.
| 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).