INGRID MUDGE (Credential# 1588803) 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.
INGRID MUDGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069253. 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 210 Fenimore Rd, Mamaroneck, NY 10543-3519. The current status is active.
| Licensee Name | INGRID MUDGE |
| Credential ID | 1588803 |
| Credential Number | CSP.0069253 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
210 Fenimore Rd Mamaroneck NY 10543-3519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1508830 | 1.061916 | Physician/Surgeon | 2018-09-13 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 210 FENIMORE RD |
| City | MAMARONECK |
| State | NY |
| Zip Code | 10543-3519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Lombardozzi | 336 Florence Streeet, Mamaroneck, NY 10543 | Registered Nurse | ~ |
| Benedict Salanitro | 609 Brook Street, Mamaroneck, NY 10543 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Martin D Keltz | 1000 Old White Plains Rd, Mamaroneck, NY 10543 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Pamela Bren | 3 Jenny Close, Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jeremy R Sanderson | 1311 Stoneybrook Ave., Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anthony Cecere | 200 West Boston Post Road, Mamaroneck, NY 10543 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Elizabeth A Anderson | 315 Anita Lane, Mamaroneck, NY 10543 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Catherine L Leone | 453 Halstead Avenue, Apt. 7, Mamaroneck, NY 10543 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Gregg Cameron Deangelis | 451 E Boston Post Rd 2nd Flr, Mamaroneck, NY 10543 | Architect | 2018-08-01 ~ 2019-07-31 |
| Allan G Styer | 325 Union Ave, Mamaroweck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10543 | |||
| City | MAMARONECK |
| Zip Code | 10543 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAMARONECK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy M Tocco | 174 Mudge Pond Road, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Grafals | 35 Nod Rd Ste 201, Avon, CT 06001-3826 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Ingrid A Schmidt Dvm | 70 Arden Ln, Stamford, CT 06905-1724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Remigino Dmd | 59 Anvil Dr, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Mody | 72 Godfrey Rd W, Weston, CT 06883-1300 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ingrid K Gindin | 47 Avonwood Rd Apt 216, Avon, CT 06001-2014 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ingrid Edshteyn | Griffin Hosptal, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ingrid Olsson | 500 Chase Parkway, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Gonzalez Md | 519 Aspen Glen Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ingrid Brinkman | 2336 Albans Rd, Houston, TX 77005-1563 | Controlled Substance Registration for Practitioner | 2016-01-09 ~ 2017-02-28 |
Please comment or provide details below to improve the information on INGRID MUDGE.
| 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).