CONSTANTINE A. MANTHOUS (Credential# 548992) 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 ACTIVE.
CONSTANTINE A. MANTHOUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031195. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 22 W Main St, Niantic, CT 06357. The current status is active.
| Licensee Name | CONSTANTINE A. MANTHOUS |
| Credential ID | 548992 |
| Credential Number | 1.031195 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 W Main St Niantic CT 06357 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-05-21 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163051 | CSP.0021045 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 22 W Main St |
| City | Niantic |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abel A Donka | 22 W Main St, Niantic, CT 06357-2340 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert P Goldberg Md | 22 W Main St, Niantic, CT 06357-2340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | Niantic |
| Zip Code | 06357 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Niantic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela L Manthous Md | Starling Physicians, New Britain, CT 06051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Constantine Vafidis | 12 Goundry Dr, Waterford, CT 06385-3533 | Physician/surgeon | 2012-01-19 ~ 2012-05-31 |
| Constantine A Axiotis | 145 Shore Rd, Pelham Manor, NY 10803 | Physician/surgeon | 2005-02-01 ~ 2005-10-31 |
| Gina M Constantine Porto | 152 Temple St, New Haven, CT 06510 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Constantine G Theoharis | 849 Jennifers Drive, Guilford, CT 06437 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Constantine Zariphes Jr | 1653 Main St, South Windsor, CT 06074-1008 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Constantine A Demetracopoulos | 535 East 70th Street, New York, NY 10021 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| William Constantine · Constantine Sealing Serv | 113 Hebron Avenue, Glastonbury, CT 06033 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Perdikaris Constantine Dvlprs Inc | Mpo Box 247, Purchase, NY 10577 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| Constantine Construction LLC | 12 Howard St, East Hartford, CT 06108-2116 | Home Improvement Contractor | 2020-02-18 ~ 2020-11-30 |
Please comment or provide details below to improve the information on CONSTANTINE A. MANTHOUS.
| 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).