NICHOLAS J MANZOLI DMD (Credential# 239652) 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.
NICHOLAS J MANZOLI DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029759. 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 39 Kennedy Dr Ste C, Putnam, CT 06260-1957. The current status is active.
| Licensee Name | NICHOLAS J MANZOLI DMD |
| Credential ID | 239652 |
| Credential Number | CSP.0029759 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
39 Kennedy Dr Ste C Putnam CT 06260-1957 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-06-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703171 | 2.008719 | Dentist | 2000-03-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 39 KENNEDY DR STE C |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1957 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas T Catanuto Md | Po Box 518, Niantic, CT 06357-0518 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicholas R Klock | 303 Irving Dr, Wilmington, DE 19802-1215 | Controlled Substance Registration for Practitioner | 2020-04-16 ~ 2021-02-28 |
| Nicholas Theodoss | 144 Benz St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | ~ |
| Nicholas A Schwartz Md | 232 E 13th St #2a, New York, NY 10003 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nicholas K Sablan | Marb 4th Flr, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicholas J Totalo Jr | 101 Elizabeth St., Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nicholas Preston Md | 101 Hamilton Ave, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nicholas K Arger | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-04-16 ~ 2015-02-28 |
| Nicholas L Lillo | One Grove St, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas E Sostilio | 31 Shadows End Ln, Milford, CT 06460-3779 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 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).