GEETA MANTHENA MD (Credential# 563012) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 23, 2008. The license expiration date date is December 31, 2009. The license status is INACTIVE.
GEETA MANTHENA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045430. The credential type is physician/surgeon. The effective date is December 23, 2008. The expiration date is December 31, 2009. The business address is 39 Buckland Street, Manchester, CT 06042. The current status is inactive.
| Licensee Name | GEETA MANTHENA MD |
| Credential ID | 563012 |
| Credential Number | 1.045430 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Buckland Street Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-05-25 |
| Effective Date | 2008-12-23 |
| Expiration Date | 2009-12-31 |
| Refresh Date | 2010-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 475768 | CSP.0041701 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-09 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 39 BUCKLAND STREET |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siobhan Mccarty-johnson | 39 Buckland Street, Manchester, CT 06042 | Backflow Prevention Device Tester | 2019-12-09 ~ 2022-09-30 |
| Farheen Ellahi | 39 Buckland Street, Manchester, CT 06042 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ahmad Ali | 39 Buckland Street, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2019-05-24 ~ 2021-02-28 |
| Christina Siena | 39 Buckland Street, Manchester, CT 06042 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Aparna Panugati | 39 Buckland Street, Manchester, CT 06042 | Tax Preparer/facilitator Permit | 2018-12-29 ~ 2020-12-31 |
| Daniella Ashley Gordon | 39 Buckland Street, Manchester, CT 06042 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Katherine Bates | 39 Buckland Street, Manchester, CT 06042 | Notary Public Appointment | 2010-06-15 ~ 2015-06-30 |
| Harpreet Kaur | 39 Buckland Street, Manchester, CT 06040 | Registered Nurse | 2007-09-10 ~ 2008-09-30 |
| Tracy G Godi | 39 Buckland Street, Manchester, CT 06040 | Hairdresser/cosmetician | 2006-08-07 ~ 2008-09-30 |
| Lilias M Lewis | 39 Buckland Street, Manchester, CT 06040 | Registered Nurse | 2003-10-27 ~ 2004-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geeta E George | 75 Golf Ln, Ridgefield, CT 06877-4818 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Geeta D Sheth | 421 Hope St, Stamford, CT 06906 | Hairdresser/cosmetician | 2018-06-01 ~ 2020-05-31 |
| Geeta Trivedi | 11 Old Farm Rd, Woodbridge, CT 06525-2400 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Geeta S Tadepalli | 226 Skyview Drive, Cromwell, CT 06416 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
| Geeta Bhardwaj | 28 Eastridge Dr, Waterbury, CT 06708-3321 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Geeta Seth | 37 Angelus Dr, Greenwich, CT 06831 | Notary Public Appointment | 1994-11-02 ~ 1999-11-30 |
| Geeta Dahal | 65 Dudley Town Rd Suite #100, Bloomfield, CT 06002 | Professional Engineer | ~ |
| Geeta Pfau | 44 Mountain Road, Mansfield Center, CT 06250 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Geeta Ramnath · Sharon Vasquez | 744 Center St # 9, Wallingford, CT 06492-3828 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Geeta Sanghvi | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2005-10-30 ~ 2007-10-29 |
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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).