MARK A PERAZELLA MD (Credential# 548853) is licensed (Physician/surgeon) 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.
MARK A PERAZELLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031004. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 395 Sir Walter Drive, Cheshire, CT 06410. The current status is active.
Licensee Name | MARK A PERAZELLA MD |
Credential ID | 548853 |
Credential Number | 1.031004 |
Credential Type | Physician/Surgeon |
Business Address |
395 Sir Walter Drive Cheshire CT 06410 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1990-08-03 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160438 | CSP.0020402 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 395 SIR WALTER DRIVE |
City | CHESHIRE |
State | CT |
Zip Code | 06410 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew Joseph Perazella | 395 Sir Walter Drive, Cheshire, CT 06410 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark A Perazella | 110 Towne Street Unit 115, Stamford, CT 06902 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
Mark Levin | 6 Gel Ct, Monsey, NY 10952-1956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mark Dam | 15 Barringer Rd, Darien, CT 06820-2012 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mark J Harary Md | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Mark L Fox | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5200 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
Mark N Lobato | Ms # 11-tub, Hartford, CT 06134 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Mark I Robbins | 211 Grove Rd, Rye, NH 03870-2508 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Mark A Sauer | Po Box 97, Pomfret, CT 06258 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
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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).