COMLAN M MISSIH (Credential# 1252816) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
COMLAN M MISSIH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011324. The credential type is dentist. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 3 Mary Ann Ln, Wallingford, CT 06492-4914. The current status is inactive.
| Licensee Name | COMLAN M MISSIH |
| Credential ID | 1252816 |
| Credential Number | 2.011324 |
| Credential Type | Dentist |
| Business Address |
3 Mary Ann Ln Wallingford CT 06492-4914 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-12-16 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1260309 | CSP.0059160 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-25 | 2014-12-25 - 2017-02-28 | INACTIVE |
| Street Address | 3 MARY ANN LN |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4914 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omotoke O Missih | 3 Mary Ann Ln, Wallingford, CT 06492-4914 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernadette R Oulton | 5 Mary Ann Ln, Wallingford, CT 06492-4914 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Dentist |
| License Type + County | Dentist + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omotoke O Missih | 3 Mary Ann Ln, Wallingford, CT 06492-4914 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Priscila M Guzman | CT | Dentist | ~ |
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Narinderjit Mahal | CT | Dentist | ~ |
| Marinela Williams | Apo Ae, 09112 | Dentist | 2018-12-01 ~ 2019-11-30 |
| Yoo Bin Lee | 11 Ridgecrest N, Scarsdale, NY 10583 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Charles E Ray | P.o. Box E, Middlebury, CT 06762 | Dentist | 2007-04-26 ~ 2008-05-31 |
| Yoonchan P. Han | 21 West St Apt 23g, New York, NY 10006-2932 | Dentist | ~ |
| Jaeyoung Kim | 215 E Cedar Ln, Teaneck, NJ 07666-5417 | Dentist | ~ |
Please comment or provide details below to improve the information on COMLAN M MISSIH.
| 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).