ARIE MANTIN (Credential# 552642) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ARIE MANTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035048. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1028 Greenhurst Rd, Winston Salem, NC 27104. The current status is active.
| Licensee Name | ARIE MANTIN |
| Credential ID | 552642 |
| Credential Number | 1.035048 |
| Credential Type | Physician/Surgeon |
| Business Address |
1028 Greenhurst Rd Winston Salem NC 27104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-01-26 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| Street Address | 1028 GREENHURST RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Terresa A Long | 646 Balfour Road, Winston Salem, NC 27104 | Advanced Practice Registered Nurse | 2015-09-16 ~ 2016-09-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Douglas W Woolard Md | 792 Roslyn Road, Winston-salem, NC 27104 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Tuajuana A Durbin | 3818 Country Club Rd Apt H, Winston-salem, NC 27104 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Find all Licenses in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arie Mantin Md | 1028 Greenhurst Road, Winsted, NC 27104 | Controlled Substance Registration for Practitioner | 2007-04-23 ~ 2008-02-29 |
| Arie Kaffman | 147 Thornton St, Hamden, CT 06517-1336 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| C G Di Arie Zinfandel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-12-22 ~ 2011-12-21 |
| Di Arie Zinfandel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-07-27 ~ 2013-07-26 |
| Cg Di Arie Zinfandel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | ~ |
| C G Di Arie Petit Syrah | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-08-21 ~ 2010-08-20 |
| Di Arie Petite Sirah | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-07-27 ~ 2013-07-26 |
| C G Di Arie Zinfandel Amador County | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-08-21 ~ 2010-08-20 |
| C G Di Arie Zinfandel Shenandoah Valley | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-08-21 ~ 2010-08-20 |
| C G Di Arie Zinfandel Shenandoah Valley Southern Exposure | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-08-21 ~ 2010-08-20 |
Please comment or provide details below to improve the information on ARIE MANTIN.
| 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).