TAKIYAH MITCHELL (Credential# 1653505) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
TAKIYAH MITCHELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062937-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2023. The business address is 1 Hospital Plaza, Stamford, CT 06902. The current status is active.
| Licensee Name | TAKIYAH MITCHELL |
| Credential ID | 1653505 |
| Credential Number | 1.062937-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1 Hospital Plaza Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2019-05-02 |
| Street Address | 1 HOSPITAL PLAZA |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Page | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Kristen Langan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Brady Coad | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Lisa Mcnamee | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Colleen Delaney | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Rachel Silverstein | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2018-03-01 ~ 2022-06-30 |
| Azlyn Goff | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Rachel Talley-bruns | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-11-01 ~ 2021-06-30 |
| Kyle Fink | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-03-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Oliver Mitchell | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Mitchell L Holt | 300 George Street, New Haven, CT 06511 | Resident Physician | 2017-06-12 ~ 2021-06-30 |
| Collin Mitchell Homer-bouthiette | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Takiyah A Davies | 28 Townley St Apt 3d, Hartford, CT 06105-1811 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Takiyah S Douglas | 158 Forest St, Manchester, CT 06040-5965 | Licensed Practical Nurse | ~ 2019-11-13 |
| Takiyah N Wright | 89 Fairview Ave, Hamden, CT 06514-4801 | Emergency Medical Technician | 2010-05-13 ~ 2012-10-01 |
| Takiyah Clinton | 60 Hilliard St., Manchester, CT 06040 | Medication Administration Certification | 2018-03-17 ~ 2020-03-16 |
| Takiyah Shelton | 225 Waterville St, Waterbury, CT 06710 | Medication Administration Certification | 2016-06-14 ~ 2018-06-13 |
| Takiyah Shelton | 227 Waterville Street, Waterbury, CT 06708 | Medication Administration Certification | ~ |
| Takiyah Johnson | 44 Orange Street, New Haven, CT 06510 | Medication Administration Certification | 2019-11-18 ~ 2021-11-17 |
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| 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).