LUKE MANTLE (Credential# 1791174) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2020. The license expiration date date is July 31, 2020. The license status is ACTIVE.
LUKE MANTLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065031. The credential type is physician/surgeon. The effective date is March 13, 2020. The expiration date is July 31, 2020. The business address is 6 Massachusetts Ave, Longmeadow, MA 01106-3023. The current status is active.
| Licensee Name | LUKE MANTLE |
| Credential ID | 1791174 |
| Credential Number | 1.065031 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Massachusetts Ave Longmeadow MA 01106-3023 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-13 |
| Effective Date | 2020-03-13 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2020-03-13 |
| Street Address | 6 MASSACHUSETTS AVE |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-3023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Gibbs | 6 Massachusetts Ave, Longmeadow, MA 01106-3023 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luke Curran Olson | 15 Bailey Way, Fitchburg, WI 53711 | Physician/surgeon | ~ |
| Luke E Eyerman | 407 Park Ave, Leonia, NJ 07605 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Walter D. Luce | 48 Luke Hill Rd, Bethany, CT 06524-3323 | Physician/surgeon | 1978-08-21 ~ 1981-02-28 |
| Kedarnath A Vaidya | 17350 St Luke's Way, The Woodlands, TX 77384 | Physician/surgeon | 2002-08-09 ~ 2003-07-31 |
| Luke M Kitahata | Dept of Anesthesia, New Haven, CT 06504 | Physician/surgeon | 1997-11-28 ~ 1999-01-31 |
| Franklyn Luke | 2160 Flintlock Drive, Hummelstown, PA 17036 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Crystal J Luke Md | 1038 Amanda Circle, Toledo, OH 43615 | Physician/surgeon | 1999-10-04 ~ 2000-03-31 |
| Theodore P Corsaro | 114 Luke Hill Road, Bethany, CT 06524-3323 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Masato Okada | St. Luke's Int. Hosp, Allergy & Rheum, Tokyo, 1048560 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Luke F Gentile | P O Box 1317, Watermill, NY 11976131 | Home Improvement Contractor | ~ 1995-09-01 |
Please comment or provide details below to improve the information on LUKE MANTLE.
| 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).