GEOFFREY L MANTON MD (Credential# 561577) 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.
GEOFFREY L MANTON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043995. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is C/o Nvra, 385 Main St South, Southbury, CT 06488. The current status is active.
| Licensee Name | GEOFFREY L MANTON MD |
| Credential ID | 561577 |
| Credential Number | 1.043995 |
| Credential Type | Physician/Surgeon |
| Business Address |
C/o Nvra, 385 Main St South Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-12-21 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 422631 | CSP.0038581 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-01-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | C/O NVRA, 385 MAIN ST SOUTH |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis F Bieler | 84-23 Manton St 3-a, Briarwood, NY 11435 | Physician/surgeon | ~ 1996-11-30 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | 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 |
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Geoffrey A Agrons | 23 Norwood Ave, Kensington, CA 94707 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Ian Geoffrey Wittman | 301 E 17th St, New York, NY 10003 | Physician/surgeon | 2018-02-16 ~ 2019-02-28 |
| Geoffrey Etherington II | 302 Route 81, Killingworth, CT 06419 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Geoffrey W Ndeto | 36 Franklin Avenue, Rosemont, PA 19010 | Physician/surgeon | ~ 1995-09-30 |
| Geoffrey H Hammond | Post Office Box 695, Danville, CA 94526 | Physician/surgeon | 1997-06-06 ~ 1998-05-31 |
Please comment or provide details below to improve the information on GEOFFREY L MANTON MD.
| 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).