CHARISSE L MANDIMIKA
Physician/surgeon


Address: 21 Elmwood Rd, Apt 1, New Haven, CT 06515

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.

Business Overview

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.

Basic Information

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

Other locations

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

Office Location

Street Address 21 Elmwood Rd, Apt 1
City New Haven
State CT
Zip Code 06515

Licenses in the same zip code

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

Competitor

Search similar business entities

City New Haven
Zip Code 06515
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New Haven

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Dataset Information

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).

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