VIVIAN MASTROIANNI PA (Credential# 162864) 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.
VIVIAN MASTROIANNI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021877. 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 60 Woodland Ln, Woodbury, CT 06798-2513. The current status is active.
| Licensee Name | VIVIAN MASTROIANNI PA |
| Credential ID | 162864 |
| Credential Number | CSP.0021877 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Woodland Ln Woodbury CT 06798-2513 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742023 | 23.000274 | Physician Assistant | 1993-10-29 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 60 WOODLAND LN |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-2513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Mastroianni | 105 Wesley Dr, Shelton, CT 06484-5248 | Controlled Substance Registration for Practitioner | ~ |
| Patrick P Mastroianni | 2890 Main St Ste D, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas Mastroianni | 151 Arbor Crst, Somers, NY 10589-1809 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Vivian A Asare | 48 Clinton Ave, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian G Mihailescu | 150 E 85th St Apt 5i, New York, NY 10028-2302 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vivian Calobrisi Pa | 29 Carriage Dr, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 1993-11-10 ~ 1995-08-01 |
| Vivian Teixeira | 207 George St #510, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Vivian S Argento Md | 112 Quarry Road, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian C Shih | 36 Judd Hill Rd, Bethany, CT 06524-3094 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vivian Leung | 410 Capitol Avenue, P.o. Box 340308, CT 06134 | 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).