THEODORE MANTZIKOS (Credential# 187265) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
THEODORE MANTZIKOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026210. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 279 Sound Beach Ave, Old Greenwich, CT 06870. The current status is active.
| Licensee Name | THEODORE MANTZIKOS |
| Credential ID | 187265 |
| Credential Number | CSP.0026210 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
279 Sound Beach Ave Old Greenwich CT 06870 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702874 | 2.008419 | Dentist | 1997-09-26 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 279 SOUND BEACH AVE |
| City | OLD GREENWICH |
| State | CT |
| Zip Code | 06870 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alireza Namjoo Dds | 279 Sound Beach Ave, Old Greenwich, CT 06870-1607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew H Smick | 279 Sound Beach Ave, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Denny Elliot Inc · Denny Elliot | 279 Sound Beach Ave, Old Greenwich, CT 06870 | Real Estate Broker | 1997-06-01 ~ 1998-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Kelly Walsh | 20 W End, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
| Geraldine Smeriglio | 15 Saint Claire Avenue, Old Greenwich, CT 06870 | Real Estate Salesperson | ~ |
| Ellington Enhanced Income Fund Ltd. | C/o Ellington Global Asset Management, Old Greenwich, CT 06870 | Securities - Exemptions | 2020-06-17 ~ |
| Hiba Kamar Hussain | 7 Richmond Drive, Old Greenwich, CT 06870 | Emergency Medical Technician | ~ |
| Old Greenwich Bagel Shop Inc | 197 Soundbeach Ave, Old Greenwich, CT 06870 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Juliana Mendes Napolitano Serrao | 3 Tait Road, Old Greenwich, CT 06870 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Robert N Rouleau | 205 Shore Road, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Charles W Ginste Jr | 44 Tomac Avenue, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Susan R Alisberg | Alisberg Parker Architects, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Leander G Krueger | 19 Meadow Place, Old Greenwich, CT 06870 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06870 | |||
| City | OLD GREENWICH |
| Zip Code | 06870 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim Kit Yeng Wong | 110 Theodore Fremd Ave Apt B8, Rye, NY 10580-2874 | Controlled Substance Registration for Practitioner | 2019-10-16 ~ 2021-02-28 |
| Theodore Frank Md | 11 Fairlawn Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1996-09-01 ~ 1998-02-28 |
| Theodore H Mueller | 172 Fountain St #2-l, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Theodore K Chang | 88 Brownstone Way Apt 104, Englewood, NJ 07631-1202 | Controlled Substance Registration for Practitioner | 2017-03-02 ~ 2019-02-28 |
| Theodore F. Marolda | 16 Hinsdale Ave, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theodore P Gluckman Dds | 251 Main St, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1996-09-01 ~ 1998-02-28 |
| Theodore J Blum Md | 5 School St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lalit Kapoor Dds | 68 Theodore Fremd Ave, Rye, NY 10580-2909 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Theodore N. Tsangaris | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Theodore Kutzy | 27 Governor St, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on THEODORE MANTZIKOS.
| 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).