JULIAN MANDELL
Physician/surgeon


Address: 1 Fonthill Park, Bloomfield, CT 06002

JULIAN MANDELL (Credential# 539164) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.

Business Overview

JULIAN MANDELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008421. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 1 Fonthill Park, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name JULIAN MANDELL
Credential ID 539164
Credential Number 1.008421
Credential Type Physician/Surgeon
Business Address 1 Fonthill Park
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1957-01-09
Effective Date 2012-04-01
Expiration Date 2013-03-31
Refresh Date 2013-07-03

Other licenses

ID Credential Code Credential Type Issue Term Status
147100 CSP.0000270 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 1 Fonthill Park
City Bloomfield
State CT
Zip Code 06002

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Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Bloomfield
Zip Code 06002
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bloomfield

Similar businesses

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Lynda R Mandell 903 Park Ave Apt 2d, New York, NY 10075-0361 Physician/surgeon 2019-12-01 ~ 2020-11-30
Marshall Mandell 3 Brush St, Norwalk, CT 06850 Physician/surgeon 1993-02-25 ~ 1994-02-28
Ira Norman Mandell Department of Hospitals, Baltimore, MD 21224 Physician/surgeon 1976-07-15 ~ 1979-04-30
Todd W Mandell Md 55 Fish Fry Street, Hartford, CT 06120 Physician/surgeon 2016-06-01 ~ 2017-05-31
Harvey N Mandell Indian Spring Lane, Norwich, CT 06360 Physician/surgeon 1994-09-21 ~ 1995-09-30
Julian Cornell 12 Gansevoort St, Bath, NY 14810-1611 Physician/surgeon ~
Julian Offsay Md 400 Washington St, Hartford, CT 06106 Physician/surgeon 2010-09-01 ~ 2011-08-31
Julian A Sachs 100 Grand St, New Britain, CT 06050 Physician/surgeon 1992-04-24 ~ 1993-03-31
Julian Hernandez Po Box 10370, Holyoke, MA 01041-1970 Physician/surgeon 2019-11-01 ~ 2020-10-31
Julian Falla 500 Mill St, Southington, CT 06489 Physician/surgeon 2016-08-01 ~ 2017-07-31

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Dataset Information

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).

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