MANJU M JOHN (Credential# 1205307) 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.
MANJU M JOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052856. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 420 Saybrook Rd, Middletown, CT 06457-4747. The current status is active.
Licensee Name | MANJU M JOHN |
Credential ID | 1205307 |
Credential Number | 1.052856 |
Credential Type | Physician/Surgeon |
Business Address |
420 Saybrook Rd Middletown CT 06457-4747 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-03-28 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1214706 | CSP.0056940 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-04-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 420 SAYBROOK RD |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4747 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph J Corning | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Stephen M Franklin Md · C/o Middlesex Cardiology | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Keshava H Aithal | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kimberly M Hudson | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Alex C Gonzalez | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David S Gallo | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joseph P Longhitano | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Subramanian Krishnan | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eran I Shani | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mojca Lorbar | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06457-4747 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Manju Prasad | 310 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Manju John · Utsav | 575 Talcottville Rd, Vernon, CT 06066-2391 | Restaurant Liquor | 2020-02-11 ~ 2021-06-10 |
Manju John | 15 Welles Lane, South Windsor, CT 06074 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Manju J Sebastian-john | 1801 Briar Woods Ln, Danbury, CT 06810-7389 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
John J Roh | 12 Little Brook Ln, Weston, CT 06883-2233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
John M De Figueiredo | Cheshire, CT 06410 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).