CAROLYN JEFFREY MANNON (Credential# 1528581) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 24, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
CAROLYN JEFFREY MANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061957. The credential type is physician/surgeon. The effective date is September 24, 2018. The expiration date is September 30, 2019. The business address is 133 Arch Street, Suite 7, Redwood City, CA 94062. The current status is inactive.
| Licensee Name | CAROLYN JEFFREY MANNON |
| Credential ID | 1528581 |
| Credential Number | 1.061957 |
| Credential Type | Physician/Surgeon |
| Business Address |
133 Arch Street, Suite 7 Redwood City CA 94062 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-09-24 |
| Effective Date | 2018-09-24 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 133 Arch Street, Suite 7 |
| City | Redwood City |
| State | CA |
| Zip Code | 94062 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Pisani | 840 Occidental Way, Emerald Hills, CA 94062 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Benchmark Capital Partners X, L.p. | 2965 Woodside Rd, Redwood City, CA 94062 | Securities - Exemptions | 2020-05-20 ~ |
| Jody L Weir | 2210 Brewster Ave, Redwood City, CA 94062 | Certified Public Accountant Certificate | ~ |
| Mary S Larson Md | Cardiovascular Med - 2900 Whipple Ave, Redwood City, CA 94062 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Portfolia Firststep Fund, LLC | 28 Meadow Road, Redwood City, CA 94062 | Securities - Exemptions | 2019-11-18 ~ |
| Michelle L Merola | 1119 Hopkins Ave, Redwood City, CA 94062-1412 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
| Louise Bakalov | 2621 Hopkins Ave, Redwood City, CA 94062-2153 | Registered Nurse | ~ |
| Faith Angela Reilly | 427 Avenue Del Ora, Redwood City, CA 94062-2201 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Edward R Voccola | 2995 Woodside Rd Ste 400, Woodside, CA 94062-2448 | Paramedic | 2020-05-01 ~ 2021-04-30 |
| Blue Planet Network | 25 Seki Ct, Emerald Hills, CA 94062-3401 | Public Charity | ~ |
| Find all Licenses in zip 94062 | |||
| City | Redwood City |
| Zip Code | 94062 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Redwood City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn D Howard | P.o. Box 672, Ashway, RI 02804 | Physician/surgeon | 2003-08-11 ~ 2004-08-31 |
| Carolyn E Thompson | 210 E 64th St Fl 4, New York, NY 10065-7471 | Physician/surgeon | 2015-08-04 ~ 2016-08-31 |
| Carolyn Jones Md | 36 Clark Ln, Waterford, CT 06385 | Physician/surgeon | 2004-01-12 ~ 2005-02-28 |
| Carolyn A Clark Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carolyn A Deshefy | 67 Old Mill Rd, Middletown, CT 06457 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Carolyn M Sofka | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Carolyn Ruth Blackman | 40 Arbor Way, East Greenwich, RI 02818 | Physician/surgeon | ~ |
| Carolyn L Jackson | 2207 Summerlake Dr, Dunwoody, GA 30350 | Physician/surgeon | 1994-10-18 ~ 1995-10-31 |
| Carolyn L Rochester | 49 Cranberry Lane, Cheshire, CT 06410 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carolyn B Becker | 35 Haris Road, Brewster, NY 10509 | Physician/surgeon | 1996-02-16 ~ 1996-12-31 |
Please comment or provide details below to improve the information on CAROLYN JEFFREY MANNON.
| 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).