MOHAN GOVINDAN MD (Credential# 551378) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2005. The license expiration date date is December 31, 2006. The license status is INACTIVE.
MOHAN GOVINDAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033779. The credential type is physician/surgeon. The effective date is December 12, 2005. The expiration date is December 31, 2006. The business address is 7139 N U S Highway 1, Port St John, FL 32927. The current status is inactive.
| Licensee Name | MOHAN GOVINDAN MD |
| Credential ID | 551378 |
| Credential Number | 1.033779 |
| Credential Type | Physician/Surgeon |
| Business Address |
7139 N U S Highway 1 Port St John FL 32927 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-06-03 |
| Effective Date | 2005-12-12 |
| Expiration Date | 2006-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164294 | CSP.0022259 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 7139 N U S HIGHWAY 1 |
| City | PORT ST JOHN |
| State | FL |
| Zip Code | 32927 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Gallant | 6411 Cable Ave, Cocoa, FL 32927 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Barbara A Robinson | 4215 Havana, Cocoa, FL 32927 | Hairdresser/cosmetician | 1999-05-17 ~ 2000-05-31 |
| Karen R Birkbeck | 1035 Jersey St, Port St John, FL 32927 | Registered Nurse | 2007-04-27 ~ 2008-06-30 |
| Jeanne Gates | 6229 Janina Rd, Cocoa, FL 32927 | Registered Nurse | 1977-08-05 ~ 1978-07-31 |
| Susan C Whitehead | 6947 Bismark Road, Port St John, FL 32927 | Hairdresser/cosmetician | 2003-01-21 ~ 2004-01-31 |
| Katherine Smith | 5160 Fishtail Palm, Cocoa, FL 32927 | Physical Therapist | 2000-12-01 ~ 2002-01-31 |
| Karin Garay | 7313 Bumelia Drive, Cocoa, FL 32927 | Hairdresser/cosmetician | 2001-04-06 ~ 2002-05-31 |
| Donna M Goldson-piper | 5630 Hemsing Street, Port St. John, FL 32927 | Physical Therapist | 2005-02-10 ~ 2006-02-28 |
| Quentin A Richter | 6825 Belfast Avenue, Cocoa, FL 32927 | Nursing Home Administrator | 1994-07-08 ~ 1995-04-30 |
| Jennifer Crane | 4960 Date Palm St, Cocoa, FL 32927-2089 | Registered Nurse | 2020-05-12 ~ 2021-01-31 |
| Find all Licenses in zip 32927 | |||
| City | PORT ST JOHN |
| Zip Code | 32927 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORT ST JOHN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brij Mohan | P.o. Box 1159, Chicago, IL 60690-1159 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Mohan S Nair | 5212 Katella, Ste 106, Los Alamitos, CA 90720 | Physician/surgeon | 1995-08-07 ~ 1996-05-31 |
| Aparna Mohan | 7808 N Cynthia St, Mcallen, TX 78504-2096 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Geetali Mohan | 1335 Oak Hill Ct., Toledo, OH 43614 | Physician/surgeon | 2008-11-28 ~ 2009-04-30 |
| Vamsi Mohan Pavuluri | 230 Brittany Farms Rd # A, New Britain, CT 06053-1284 | Physician/surgeon | ~ |
| Mohan S Vodapally Md | 2447 Whitney Ave Ste -1, Hamden, CT 06518-3211 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rama Mohan Takillapati | 20 Sinclair Rd, Shrewsbury, MA 01545-3992 | Physician/surgeon | 2010-12-15 ~ 2011-05-31 |
| Mohan A Pillai Md | Windham Neurology Center, Willimantic, CT 06226 | Physician/surgeon | 2005-01-21 ~ 2006-03-31 |
| Mohan R Nemali | Va Ambulatory Care Center, Columbus, OH 43219 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mohan V Belthur | 2825 Bellafontaine Street, Houston, TX 77025 | Physician/surgeon | 2009-03-30 ~ 2010-05-31 |
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| 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).