VIVEK MANGLA (Credential# 561690) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.
VIVEK MANGLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044108. The credential type is physician/surgeon. The effective date is September 21, 2007. The expiration date is September 30, 2008. The business address is 2807 Daniel Mccall Drive, Lufkin, TX 75904. The current status is inactive.
| Licensee Name | VIVEK MANGLA |
| Credential ID | 561690 |
| Credential Number | 1.044108 |
| Credential Type | Physician/Surgeon |
| Business Address |
2807 Daniel Mccall Drive Lufkin TX 75904 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-02-27 |
| Effective Date | 2007-09-21 |
| Expiration Date | 2008-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 2807 Daniel McCall Drive |
| City | Lufkin |
| State | TX |
| Zip Code | 75904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa H Mclane | 1602 Woodland Drive, Lufkin, TX 75904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica Dotson Malone | 5421 Fm 2251, Lufkin, TX 75904 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Priya Bhandari | 104 Primrose Court, Lufkin, TX 75904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fay T Weller | 30095 John Redditt, Lufkin, TX 75904 | Barber | 2008-01-28 ~ 2010-03-31 |
| Martha M Owen | 1404 Cherry Hill Drive, Lufkin, TX 75904 | Registered Nurse | 2001-07-06 ~ 2001-11-30 |
| Analou S Balahay | 1009 Ellis Ave Apt 8, Lufkin, TX 75904-3342 | Physical Therapist | ~ |
| Amir Mohani | 104 Primrose Ct, Lufkin, TX 75904-5323 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Trissa J Lee | 1705 Feagin Dr, Lufkin, TX 75904-5535 | Registered Nurse | 2012-03-28 ~ 2012-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yesenia D Cabral | 936 Loan Star Road, Lufkin, TX 75901 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Karen Marie Atkinson | 208 Rosedale Dr, Lufkin, TX 75901-5928 | Registered Nurse | 1985-05-31 ~ 1990-06-30 |
| Steven D Costner | 1900 Birdsong Street, Lufkin, TX 75901 | Radiographer | ~ |
| Anthony N Wells | 1209 Lotus Lane, Lufkin, TX 75901 | Respiratory Care Practitioner | 2002-12-16 ~ 2003-12-31 |
| Charles E Dolese | 1200 Johnson, Lufkin, TX 75901 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Tim Durham | Po Box 1003, Lufkin, TX 75902 | Electrical Limited Journeyperson | 2001-10-01 ~ 2002-09-30 |
| City | Lufkin |
| Zip Code | 75904 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Lufkin |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sundeep Mangla Md | 1431 Ocean Avenue, Santa Monica, CA 90401 | Physician/surgeon | 2005-03-31 ~ 2006-02-28 |
| Vivek S. Jagadale | 132 Noyant Dr., Little Rock, AR 72223 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Vivek Sehgal | 2400 N Lakeview, Chicago, IL 48009 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vivek Yerrapu Reddy | 1 Gustave L Levy Pl, New York, NY 10029-6504 | Physician/surgeon | ~ |
| Vivek Iyer | 21 Audubon Avenue, New York, NY 10032 | Physician/surgeon | 2015-10-19 ~ 2016-04-30 |
| Vivek Dhungana | 400 Blake Street, New Haven, CT 06515 | Physician/surgeon | 2020-05-14 ~ 2021-02-28 |
| Vivek K Vijayamadhavan | 8333 Braesmain Drive, Houston, TX 77025 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Rashmi Vivek Thatte | 44 Bradford Walk, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vivek Venkatakrishnan | 118 Avalon Gardens Drive, Nanuet, NY 10954 | Physician/surgeon | 2009-06-01 ~ 2010-06-30 |
| Simha Vivek Jagadeesh | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on VIVEK MANGLA.
| 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).