THOMAS V MANGANO PA (Credential# 743913) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
THOMAS V MANGANO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002164. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 145 Pacer Ln, Plantsville, CT 06479-1484. The current status is active.
| Licensee Name | THOMAS V MANGANO PA |
| Credential ID | 743913 |
| Credential Number | 23.002164 |
| Credential Type | Physician Assistant |
| Business Address |
145 Pacer Ln Plantsville CT 06479-1484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-09-22 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 515721 | CSP.0044665 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 844585 | 70.004852 | Emergency Medical Technician | 2004-05-25 | 2006-06-09 - 2008-03-31 | INACTIVE |
| Street Address | 145 PACER LN |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katharine E Mangano | 145 Pacer Ln, Plantsville, CT 06479-1484 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Flood | 170 Pacer Ln, Plantsville, CT 06479-1484 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Paul A Pisano Jr | 163 Pacer Ln, Plantsville, CT 06479-1484 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Elizabeth Mearkle · Precious Cargo Child Care | 103 Pacer Ln, Plantsville, CT 06479-1484 | Family Child Care Home | 2018-07-01 ~ 2022-06-30 |
| Kristen L Pisano | 163 Pacer Ln, Plantsville, CT 06479-1484 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Clarence L Fillmore IIi | 170 Pacer Ln, Plantsville, CT 06479-1484 | Emergency Medical Technician | 2015-03-30 ~ 2018-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | PLANTSVILLE |
| Zip Code | 06479 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PLANTSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul D Mangano · Mangano Construction | 3 Chestnut Dr, Windsor, CT 06095 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Anthony Robert Mangano | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Marc Thomas Civitano | 51 Caprice Dr, Stamford, CT 06902 | Physician Assistant | ~ |
| Carole L Thomas | 100 Grand St, New Britain, CT 06052-2016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Thomas S Doty Pa | 310 85th St C6, Brooklyn, NY 11209 | Physician Assistant | 2005-07-22 ~ 2006-06-30 |
| Diana Waxler | 1 Thomas St, Scarsdale, NY 10583-1030 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Thomas G Brady Pa | 23 Scuppo Rd, Woodbury, CT 06798 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Thomas P Moreau | 8 Heights Rd, Barrington, NH 03825-3934 | Physician Assistant | 2013-06-01 ~ 2014-05-31 |
| Thomas C Beltz | 153 Mill St, Uxbridge, MA 01569-2022 | Physician Assistant | 2019-09-03 ~ 2020-09-30 |
| Thomas S Wooding | Backus Hospital, Norwich, CT 06360 | Physician Assistant | 2012-12-01 ~ 2013-11-30 |
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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).