STEFAN MANSOURIAN (Credential# 1317573) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
STEFAN MANSOURIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054766. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 44 Russell Ave, Orange, CT 06477. The current status is active.
| Licensee Name | STEFAN MANSOURIAN |
| Credential ID | 1317573 |
| Credential Number | 1.054766 |
| Credential Type | Physician/Surgeon |
| Business Address |
44 Russell Ave Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1117929 | CSP.0053512 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 469466 | CSP.0041420 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-07 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 44 Russell Ave |
| City | Orange |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shea Restoration LLC | 44 Russell Ave, Orange, CT 06877 | Home Improvement Contractor | 2009-09-29 ~ 2010-11-30 |
| Caz-shea LLC | 44 Russell Ave, Orange, CT 06477 | Home Improvement Contractor | 2004-07-16 ~ 2004-11-30 |
| Mariellen Shea · Lowes Home Centers Inc | 44 Russell Ave, Orange, CT 06477 | Home Improvement Salesperson | 1998-08-26 ~ 1998-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | Orange |
| Zip Code | 06477 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Orange |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vazrick Mansourian | 784 Orange Center Rd, Orange, CT 06477 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Stefan T Rau | 301 Millbrook Rd, Hudson, NY 12534-4518 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Stefan G Pribil | 653 W 23rd St # 189, Panama City, FL 32405-3922 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Stefan Semchyshyn | 71 Rotary Drive, Summit, NJ 07901 | Physician/surgeon | 1995-08-21 ~ 1996-08-31 |
| Stefan G Chevalier | 75 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Stefan Somlo M.d. | 2 Lowlyn Road, Westport, CT 06880 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stefan Simon Kachala | 183 North Mountain Road, New Britain, CT 06053 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stefan Swinicki · Stefan Construction | 192 Nunzio Dr, Plantsville, CT 06479 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Stefan Construction LLC | 192 Nunzio Drive, Plantsville, CT 06479-1656 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Stefan Costache · Stefan Costache Painting & Home Imp | 3 Dogwood Lane, Simsbury, CT 06070 | Home Improvement Contractor | 2010-12-28 ~ 2011-11-30 |
Please comment or provide details below to improve the information on STEFAN MANSOURIAN.
| 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).