MICHAEL L. MANGONON (Credential# 1034167) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
MICHAEL L. MANGONON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050410-DO. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is Plancher Orthopedics & Sports Medicine, Cos Cob, CT 06807. The current status is inactive.
| Licensee Name | MICHAEL L. MANGONON |
| Credential ID | 1034167 |
| Credential Number | 1.050410-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
Plancher Orthopedics & Sports Medicine Cos Cob CT 06807 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-11-01 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1040656 | CSP.0051647 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-11-16 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | PLANCHER ORTHOPEDICS & SPORTS MEDICINE |
| City | COS COB |
| State | CT |
| Zip Code | 06807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
| Michael F Angel | 751 Mix Ave, Hamden, CT 06514-2227 | Physician/surgeon | 1982-02-10 ~ 1984-04-30 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Please comment or provide details below to improve the information on MICHAEL L. MANGONON.
| 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).