SUSAN A MANGO DVM (Credential# 499963) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SUSAN A MANGO DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043357. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 35 Knollwood Trail, Coventry, CT 06238. The current status is inactive.
| Licensee Name | SUSAN A MANGO DVM |
| Credential ID | 499963 |
| Credential Number | CSP.0043357 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
35 Knollwood Trail Coventry CT 06238 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-04-16 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772909 | 47.003235 | Veterinarian | 2007-03-07 | 2010-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 35 KNOLLWOOD TRAIL |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan J Parker | 16 Root Ln, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Westrup Od | 515 West Ave Apt 343, Norwalk, CT 06850-4039 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Donohue | 191 Darthmouth Dr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-04-20 ~ 2021-02-28 |
| Susan Macarthur Aprn | Rr 1 Box 261-a, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Susan Chi Md | 421 Whitney Avenue, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Susan E Hardy Md | 904 1/2 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on SUSAN A MANGO DVM.
| 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).