DANIEL J MASTELLA (Credential# 559246) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIEL J MASTELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041663. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 195 Eastern Blvd, Glastonbury, CT 06033-1208. The current status is active.
Licensee Name | DANIEL J MASTELLA |
Credential ID | 559246 |
Credential Number | 1.041663 |
Credential Type | Physician/Surgeon |
Business Address |
195 Eastern Blvd Glastonbury CT 06033-1208 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2003-07-15 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
348484 | CSP.0033941 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-09-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
909126 | CSP.0047100 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-01-22 | 2015-03-01 - 2017-01-17 | INACTIVE |
Street Address | 195 EASTERN BLVD |
City | GLASTONBURY |
State | CT |
Zip Code | 06033-1208 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Glastonbury Surgery Center LLC · Glastonbury Surgery Center, LLC | 195 Eastern Blvd, Glastonbury, CT 06033-1208 | Out-patient Surgical Facility | 2020-01-01 ~ 2021-12-31 |
Hugh E Finch Jr | 195 Eastern Blvd, Glastonbury, CT 06033 | Dentist | 2020-03-01 ~ 2021-02-28 |
James R Piorkowski | 195 Eastern Blvd, Glastonbury, CT 06033-1208 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John A Vischio | 195 Eastern Blvd Ste 201, Glastonbury, CT 06033-1208 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Pamela M Wilson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
H Kirk Watson | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Christopher J Scola | 195 Eastern Blvd Ste 201, Glastonbury, CT 06033-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Duffield Ashmead | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roxanne T Dunwoody | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
Deborah Pankonin | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-1208 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 06033 |
City | GLASTONBURY |
Zip Code | 06033 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GLASTONBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Daniel R Canchola | CT | Physician/surgeon | ~ |
Lisa M Mastella | 11 A The Hamlet, Enfield, CT 06082 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
Daniel R. Wolpaw | Po Box 431, Agawam, MA 01001-0431 | Physician/surgeon | 1981-09-09 ~ 1982-03-31 |
Daniel Owens | 921 S Adams St, Hinsdale, IL 60521-4315 | Physician/surgeon | ~ |
Daniel E Stuckey | Po Box 698, Katy, TX 77492 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Daniel S Ebbs | 788 E Spruce Ave, Fresno, CA 93720-3017 | Physician/surgeon | ~ |
Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
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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).