AKRIVI MANOLA (Credential# 1378478) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 26, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
AKRIVI MANOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055874. The credential type is physician/surgeon. The effective date is October 26, 2016. The expiration date is October 31, 2017. The business address is 2150 S Mcclelland St Apt 328, Salt Lake City, UT 84106-6209. The current status is inactive.
| Licensee Name | AKRIVI MANOLA |
| Credential ID | 1378478 |
| Credential Number | 1.055874 |
| Credential Type | Physician/Surgeon |
| Business Address |
2150 S Mcclelland St Apt 328 Salt Lake City UT 84106-6209 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-10-26 |
| Effective Date | 2016-10-26 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 944941 | CSP.0048210 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-30 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 2150 S MCCLELLAND ST APT 328 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-6209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nli Colton, LLC | 1240 E 2100 South, Ste 300, Salt Lake City, UT 84106 | Securities - Exemptions | 2020-05-06 ~ |
| Meds In Motion LLC | 3798 So 700 East Suite #7, Salt Lake City, UT 84106 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Terry Wieser · Wieser Architects | 3330 South 700 East, Salt Lake City, UT 84106 | Architect | 1999-08-01 ~ 2000-07-31 |
| Jeannett E Madsen | 1034 Hudson Ave., Salt Lake City, UT 84106 | Registered Nurse | 1999-10-01 ~ 2000-10-31 |
| Kristina M Heintz · Kline | 2729 Highland Dr, Salt Lake City, UT 84106 | Registered Nurse | 2006-09-25 ~ 2007-10-31 |
| Albert K Hsiao | 675 East 2100 South, Salt Lake City, UT 84106 | Physician/surgeon | ~ 1997-01-31 |
| Louise A Arkin | 1599 E Evergreen Lane, Salt Lake City, UT 84106 | Registered Nurse | 2004-11-29 ~ 2005-08-31 |
| Harry Adelson | 1155 East 2100 South #333, Salt Lake City, UT 84106 | Naturopathic Physician | 2001-08-27 ~ 2002-07-31 |
| Deborah Woolard Md | Vista Staffing Solutions C/o Dan Se, Salt Lake City, UT 84106 | Controlled Substance Registration for Practitioner | 1997-04-10 ~ 1998-02-28 |
| Brinks Pharmacy Inc | 1050 East 3300 South; Suite #208, Salt Lake City, UT 84106 | Nonresident Pharmacy | 2006-09-01 ~ 2007-08-31 |
| Find all Licenses in zip 84106 | |||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SALT LAKE CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Candace L Chamberlain | 4 Manola Street, Chicopee, MA 01020 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Nathan L Barbieri | 12 Manola St, Chicopee, MA 01020-4465 | Tv & Radio Limited Dish Antenna Technician | 2011-09-01 ~ 2012-08-31 |
| Manola N Sidara · East-west Grille | 526 New Park Ave, West Hartford, CT 06110-1313 | Restaurant Wine & Beer | 2018-08-06 ~ 2019-08-05 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).