ROSS ELLIOTT MAZO (Credential# 1533325) 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.
ROSS ELLIOTT MAZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069191. 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 Westmed Medical Group, White Plains, NY 10604. The current status is active.
Licensee Name | ROSS ELLIOTT MAZO |
Credential ID | 1533325 |
Credential Number | CSP.0069191 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Westmed Medical Group White Plains NY 10604 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-07-30 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1488949 | 1.061136 | Physician/Surgeon | 2018-05-30 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | WESTMED MEDICAL GROUP |
City | WHITE PLAINS |
State | NY |
Zip Code | 10604 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 10604 |
City | WHITE PLAINS |
Zip Code | 10604 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WHITE PLAINS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James E Mazo Md | 61 Maryland Dr, Middlefield, CT 06455 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Brendan P Ruby | 140 Elliott St, Beaufort, SC 29902-5218 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
J. Carol Elliott | 143 Gates St, Portsmouth, NH 03801-4606 | Controlled Substance Registration for Practitioner | 2019-03-29 ~ 2021-02-28 |
Audrey L Elliott Dmd | 4 Ichabod Rd, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Catherine Elliott Aprn | Po Box 577, Freedom, NH 03836 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Elliott M Levy | 166 Linden St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-03-03 ~ 1996-03-01 |
Elliott B Martin Jr | 113 Wayland St, North Haven, CT 06473-4353 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Heidi L Elliott Md | 2736 Berkshire Rd, Cleveland Heights, OH 44106-3364 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Nancy Elliott Pa · Elliot/johnston | 216 Oak Way, Santa Cruz, CA 95165 | Controlled Substance Registration for Practitioner | 1995-02-06 ~ 1996-02-28 |
Ross W Filice Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).