THOMAS S MUZZONIGRO (Credential# 559645) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
THOMAS S MUZZONIGRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042063. The credential type is physician/surgeon. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 7500 Brooktree Rd # Gl101, Wexford, PA 15090-9254. The current status is active.
Licensee Name | THOMAS S MUZZONIGRO |
Credential ID | 559645 |
Credential Number | 1.042063 |
Credential Type | Physician/Surgeon |
Business Address |
7500 Brooktree Rd # Gl101 Wexford PA 15090-9254 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2003-12-22 |
Effective Date | 2019-05-01 |
Expiration Date | 2020-04-30 |
Refresh Date | 2019-04-11 |
Street Address | 7500 BROOKTREE RD # GL101 |
City | WEXFORD |
State | PA |
Zip Code | 15090-9254 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hugo J Pfaeffle | 7500 Brooktree Rd # Gl, Wexford, PA 15090-9254 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Scott G Rainey | 7500 Brooktree Rd, Wexford, PA 15090-9254 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
D Kelly Agnew | 7500 Brooktree Rd # Gl, Wexford, PA 15090-9254 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Coeptis Pharmaceuticals Inc · Coeptis Pharmaceuticals, Inc | 105 Bradford Rd Ste# 420, Wexford, PA 15090 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Ronald D Martin | 240 Emmett Rd, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Angela D Nikitas | 423 Fairmont Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Annette Jeanne English | 135 Blue Heron Drive, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Trang Mai | 318 Marshall Heights Dr, Wexford, PA 15090 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Vasudha Kale | 10596 Forest Hill Dr, Wexford, PA 15090 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Jeremy A Kriner | 100 Greenwood Drive, Wexford, PA 15090 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Corey Pacek | 7500 Brooktree Rd., Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
William E. Saar | 7500 Brooktree Road, Wexford, PA 15090 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Trenton M Gause | Tri Rivers Consulting, Wexford, PA 15090 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Find all Licenses in zip 15090 |
City | WEXFORD |
Zip Code | 15090 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEXFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
Thomas R Naparst Md | 753 E 5th St Apt 1b, New York, NY 10009-7053 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Thomas Xu | 396 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Thomas Ho Lee | 319 Lafayette St., New York, NY 10012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Thomas Koobatian Md | 21 Elm St, New Milford, CT 06776-2915 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas P Simeone | Po Box 2460, Jupiter, FL 33468-2460 | Physician/surgeon | ~ |
Thomas Yu | 79 Rt 37w, Toms River, NJ 08755 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Thomas P. Sculco | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Thomas A. Fay | 104 River Rd, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).