CHARISSE L MANDIMIKA (Credential# 1527680) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 13, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
CHARISSE L MANDIMIKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061915. The credential type is physician/surgeon. The effective date is September 13, 2018. The expiration date is June 30, 2019. The business address is 21 Elmwood Rd, Apt 1, New Haven, CT 06515. The current status is inactive.
Licensee Name | CHARISSE L MANDIMIKA |
Credential ID | 1527680 |
Credential Number | 1.061915 |
Credential Type | Physician/Surgeon |
Business Address |
21 Elmwood Rd, Apt 1 New Haven CT 06515 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2018-09-13 |
Effective Date | 2018-09-13 |
Expiration Date | 2019-06-30 |
Refresh Date | 2019-10-03 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charisse L Mandimika | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-08-02 ~ 2019-06-30 |
Street Address | 21 Elmwood Rd, Apt 1 |
City | New Haven |
State | CT |
Zip Code | 06515 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
Find all Licenses in zip 06515 |
City | New Haven |
Zip Code | 06515 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + New Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charisse D Litchman | Po Box 3224, Stamford, CT 06905 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Charisse I Lachica | 2370 North Avenue, Bridgeport, CT 06604 | Physician/surgeon | ~ 1997-03-31 |
Charisse Colvin | 40 Lower Rocky Point Rd, Miller Place, NY 11764-1630 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
Charisse M Del Ciampo | 23 Elmwood Way, Clinton, CT 06413 | Hairdresser/cosmetician | 2010-01-01 ~ 2011-12-31 |
Charisse A Corsano | Po Box 46, North Salem, NY 10560-0046 | Massage Therapist | 2018-12-01 ~ 2020-11-30 |
Charisse P Campos | 21 Temple Street, #800, Hartford, CT 06103 | Registered Nurse | 2009-03-16 ~ 2010-03-31 |
Charisse N Muriel | 7 High Ridge Rd, Ellington, CT 06029-4238 | Massage Therapist | 2015-09-01 ~ 2017-08-31 |
Tatiana Charisse Winn | 24 Vine St Fl 1, New Haven, CT 06519-5535 | Licensed Practical Nurse | ~ |
Charisse H Pacelli | 139 Old Field Rd, Fairfield, CT 06430 | Real Estate Salesperson | ~ |
Charisse T Hamilton | 13 Andrew Ln, Windsor, CT 06095-2613 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
Please comment or provide details below to improve the information on CHARISSE L MANDIMIKA.
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).