MARY A MANTON (Credential# 547238) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
MARY A MANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028552. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 28 Armstrong Rd Unit B-9, Coventry, CT 06238. The current status is approved.
Licensee Name | MARY A MANTON |
Credential ID | 547238 |
Credential Number | 1.028552 |
Credential Type | Physician/Surgeon |
Business Address |
28 Armstrong Rd Unit B-9 Coventry CT 06238 |
Business Type | INDIVIDUAL |
Status | APPROVED - CURRENT |
Active | 1 |
Issue Date | 1987-09-25 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155266 | CSP.0016163 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 28 ARMSTRONG RD UNIT B-9 |
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 |
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 |
Michele Mumford | 115 Judd Road, Coventry, CT 06238 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
Find all Licenses in zip 06238 |
City | COVENTRY |
Zip Code | 06238 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + COVENTRY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Luis F Bieler | 84-23 Manton St 3-a, Briarwood, NY 11435 | Physician/surgeon | ~ 1996-11-30 |
Geoffrey L Manton Md | C/o Nvra, 385 Main St South, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Janelle S Manton Md | Dermatology Assoc of Glastonbury, Glastonbury, CT 06033 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jim Olsen Syrah Manton Valley | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-07-15 ~ 2018-07-14 |
Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Mary Mathai | 22 Rue Dijon, Kenner, LA 70065 | Physician/surgeon | 1992-01-23 ~ 1992-12-31 |
Mary I Fatehi | 22 Pheasant Run, Old Westbury, NY 11568 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
Mary A Pieprzak | 79 Charlene Dr, New Britain, CT 06053 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
Please comment or provide details below to improve the information on MARY A MANTON.
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).