PRABHATH MANNAM (Credential# 1591755) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is September 6, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
PRABHATH MANNAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.023708. The credential type is emergency medical technician. The effective date is September 6, 2018. The expiration date is June 30, 2019. The business address is 4 Ellawoods Dr, Farmington, CT 06032-1169. The current status is inactive.
| Licensee Name | PRABHATH MANNAM |
| Credential ID | 1591755 |
| Credential Number | 70.023708 |
| Credential Type | Emergency Medical Technician |
| Business Address |
4 Ellawoods Dr Farmington CT 06032-1169 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-09-06 |
| Effective Date | 2018-09-06 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-09-28 |
| Street Address | 4 ELLAWOODS DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1169 |
| 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 | Emergency Medical Technician |
| License Type + County | Emergency Medical Technician + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arjuna P Mannam | 4 Ellawoods Drive, Farmington, CT 06032 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Praveen Mannam | 53 Santa Fe Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sudhakar Mannam | 83-4a Winding Wood Drive, Sayreville, NJ 08872 | Physician/surgeon | 2004-05-04 ~ 2005-03-31 |
| Zhuohan Li | 206 Elm St, New Haven, CT 06520-9251 | Emergency Medical Technician | ~ |
| Che-yu J Tai | 440 W End Ave Apt 11b, New York, NY 10024-5358 | Emergency Medical Technician | 2010-01-28 ~ 2011-04-01 |
| Ye Eun Kim | 101 Reynoldston Ct, Suwanee, GA 30024 | Emergency Medical Technician | ~ |
| Jan C Williams | Po Box 75, Willington, CT 06279 | Emergency Medical Technician | ~ |
| John E Lee | 367 Elm St. Apt 502, New Haven, CT 06511 | Emergency Medical Technician | ~ |
| Zexi Jin | 103 9th St, Charlestown, MA 02129 | Emergency Medical Technician | ~ |
| Catie S Ho | 37 Day St # R, Newington, CT 06111-1207 | Emergency Medical Technician | ~ |
Please comment or provide details below to improve the information on PRABHATH MANNAM.
| 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).