JAPHETH O MONGARE (Credential# 1036238) is licensed (Podiatrist) 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.
JAPHETH O MONGARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000881. The credential type is podiatrist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 11 Westridge Dr, Avon, CT 06001-3648. The current status is active.
| Licensee Name | JAPHETH O MONGARE |
| Credential ID | 1036238 |
| Credential Number | 19.000881 |
| Credential Type | Podiatrist |
| Business Address |
11 Westridge Dr Avon CT 06001-3648 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-10-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1052618 | CSP.0051993 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 11 WESTRIDGE DR |
| City | AVON |
| State | CT |
| Zip Code | 06001-3648 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Byungsuk Han | 9 Westridge Dr, Avon, CT 06001-3648 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Podiatrist |
| License Type + County | Podiatrist + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travon Owens | CT | Podiatrist | ~ |
| Won H Chang | 200 Old Palisade Rd Apt 16a, Fort Lee, NJ 07024-7060 | Podiatrist | ~ |
| Michael Lai | 147-35 Village Rd., Jamaica, NY 11435 | Podiatrist | 2003-03-27 ~ 2003-11-30 |
| Patricia B Farragher | P.o. Box 639, New Paltz, NY 12561 | Podiatrist | 2009-06-01 ~ 2010-04-30 |
| Leonard W Schneider | Po Box 206, Branford, CT 06405 | Podiatrist | 1997-12-12 ~ 1999-02-28 |
| Jill E Stark | 25 Inness Rd, Tenafly, NJ 07670-2714 | Podiatrist | ~ |
| Bruce W Friedlander | 497 8th St, Brooklyn, NY 11215 | Podiatrist | 1992-11-24 ~ 1993-07-31 |
| Gary W Bravstein | 408 Jay St, Brooklyn, NY 11201 | Podiatrist | 1992-03-24 ~ 1993-03-31 |
| Eric Lui Dpm | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | Podiatrist | 2020-05-01 ~ 2021-04-30 |
| Amy B Katzew | 15 West Ave, Brockton, MA 02401 | Podiatrist | 1995-08-24 ~ 1996-10-31 |
Please comment or provide details below to improve the information on JAPHETH O MONGARE.
| 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).