MANUEL ANTHONY MOUTINHO (Credential# 1368737) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MANUEL ANTHONY MOUTINHO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055646. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1421 Farmington Avenue, Farmington, CT 06032. The current status is active.
| Licensee Name | MANUEL ANTHONY MOUTINHO |
| Credential ID | 1368737 |
| Credential Number | 1.055646 |
| Credential Type | Physician/Surgeon |
| Business Address |
1421 Farmington Avenue Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1499934 | CSP.0067642 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1006815 | CSP.0050756 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-25 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 1421 Farmington Avenue |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manuel Tanguma | 956 Woodlake Dr, Cardiff By The Sea, CA 92007 | Physician/surgeon | ~ |
| Manuel C Pun | 4 Corporate Dr Ste 100, Shelton, CT 06484-6258 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Manuel Del Sol | 6 Mark Drive, Norwalk, CT 06851 | Physician/surgeon | ~ 1999-01-31 |
| Manuel R Rosales | 70 Short Way, Roslyn Heights, NY 11577 | Physician/surgeon | ~ 1998-01-31 |
| Jose Manuel N Tan Md | 735 Daniels Farm Rd, Trumbull, CT 06611 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Manuel J Soares | 684 Farmington Ave, West Hartford, CT 06119 | Physician/surgeon | 1994-08-15 ~ 1995-08-31 |
| Manuel Cerqueria | Nuclear Medicine, Seattle, WA 98504 | Physician/surgeon | 1980-03-24 ~ 1983-11-30 |
| Manuel R Remigio | 3922 Carnaby Dr, Oviedo, FL 32765 | Physician/surgeon | 1992-01-23 ~ 1993-01-31 |
| Manuel F Rosado | 14 Reservoir Drive, Clinton, CT 06413 | Physician/surgeon | 2009-03-23 ~ 2010-03-31 |
| Manuel Selva Jr | Rua General Mariante, Rid De Janiero Rj, 22221100 | Physician/surgeon | 1998-08-03 ~ 1999-08-31 |
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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).