MAXWELL SEBASTIAN MAZZARINO (Credential# 1667676) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MAXWELL SEBASTIAN MAZZARINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004607. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3 Country Ln, Califon, NJ 07830-3437. The current status is active.
| Licensee Name | MAXWELL SEBASTIAN MAZZARINO |
| Credential ID | 1667676 |
| Credential Number | 23.004607 |
| Credential Type | Physician Assistant |
| Business Address |
3 Country Ln Califon NJ 07830-3437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667734 | CSP.0071500 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-26 | 2019-09-26 - 2021-02-28 | ACTIVE |
| Street Address | 3 COUNTRY LN |
| City | CALIFON |
| State | NJ |
| Zip Code | 07830-3437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard W Southwick | 350 Route 513, Califon, NJ 07830 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin H Kane | 3 Green Acre Drive, Califon, NJ 07830 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Dominick A Depinto | 10 Andrea Way, Califon, NJ 07830 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Joseph J Benigno | 55 Turtleback Rd, Califon, NJ 07830 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Resilient Solutions LLC | 17 Fox Hill Rd, Califon, NJ 07830 | Real Estate Broker | ~ |
| John C Folsom | 13 Raritan Drive, Califon, NJ 07830 | Asbestos Abatement Supervisor | 2003-09-04 ~ 2003-10-31 |
| Lisa M Luciano · Enright | 242 Awvalleybrook Rd, Califon, NJ 07830 | Registered Nurse | 1994-06-27 ~ 1995-03-31 |
| Sharon E Knox · Huskes | P O Box 136, Califon, NJ 07830 | Hairdresser/cosmetician | 1997-04-22 ~ 1997-04-30 |
| Dennis D Cronin | 17 Fox Hill Rd, Califon, NJ 07830 | Real Estate Broker | ~ |
| Frederick A Porcello | 16 Fox Hill Rd, Califon, NJ 07830-3004 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 07830 | |||
| City | CALIFON |
| Zip Code | 07830 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CALIFON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maxwell Mazzarino | 40 Prospect Ave. Bldg. 2-4c, Norwalk, CT 06850 | Resident Physician Assistant | 2019-09-09 ~ 2020-09-11 |
| Victoria L Maxwell Pa | 823 Williams Street, Pittsfield, MA 01201 | Physician Assistant | 2003-07-01 ~ 2004-06-30 |
| Calum Maxwell · J L Maxwell | 13 Autumn St, Norwalk, CT 06850 | Home Improvement Contractor | 2007-12-28 ~ 2008-11-30 |
| Maxwell King | 48 Moorland Ave, Cranston, RI 02905-3513 | Physical Therapist Assistant | ~ |
| Congregazione Di San Sebastian | 130 Father Salemi Dr, Ansonia, CT 06401-3229 | Club Liquor | 2019-09-17 ~ 2020-12-21 |
| Sebastian M Sapia · Sebastian Stone Works | Ridge Rd, N Canton, CT 06019 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Sebastian Tornatore · Sebastian Kitchen Cabinets | 4 Taft St, Norwalk, CT 06854 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| April M Mazzarino-willett Aprn | 48 Drury Ln, Longmeadow, MA 01106-3210 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Sebastian Lombardo | 65 Ridge St., Manchester, CT 06040 | Family Child Care Assistant | 1996-05-31 ~ 1996-05-31 |
| Sebastian R Pugliese | 569 Hartford Turnpike, Vernon, CT 06066 | Family Child Care Assistant | 2011-12-01 ~ 2013-11-30 |
Please comment or provide details below to improve the information on MAXWELL SEBASTIAN MAZZARINO.
| 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).