RAFAELA M MANGINO (Credential# 1171506) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
RAFAELA M MANGINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002932. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 135 Buell St, North Haven, CT 06473. The current status is active.
| Licensee Name | RAFAELA M MANGINO |
| Credential ID | 1171506 |
| Credential Number | 23.002932 |
| Credential Type | Physician Assistant |
| Business Address |
135 Buell St North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1175797 | CSP.0055630 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 135 Buell St |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maurice E Libson | 135 Buell St, North Haven, CT 06473 | Architect | 2005-08-10 ~ 2006-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mangino Excavation LLC | 314 Main St Unit 4596, Wallingford, CT 06492-7797 | Home Improvement Contractor | 2019-01-13 ~ 2019-11-30 |
| Mangino's Apizza | 244 Quinnipiac Avenue, North Haven, CT 06473 | Bakery | 2007-03-01 ~ 2007-06-30 |
| Mangino Strength & Conditioning | 2458 Boston Post Rd Unit 7rear, Guilford, CT 06437-1354 | Health Club | 2019-10-01 ~ 2020-09-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Rafaela Haxhari | 2860 E 197 St, Bronx, NY 10461 | Registered Nurse | 2019-01-17 ~ 2020-01-31 |
| Rafaela Manprin Marinho | 80 Heritage Way, Torrington, CT 06790-4141 | Registered Nurse | ~ |
| Robert Mangino | 131 Talcott Rd, Guilford, CT 06437-5001 | Architect | 2019-08-09 ~ 2020-07-31 |
| Rafaela D Moraes | 314 Sw 26th Pl, Cape Coral, FL 33991-1132 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rafaela Formigari | 200 Woodmont Ave Apt 96, Bridgeport, CT 06606-2711 | Respiratory Care Practitioner | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on RAFAELA M MANGINO.
| 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).