JULIAN MANDELL (Credential# 539164) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
JULIAN MANDELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008421. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 1 Fonthill Park, Bloomfield, CT 06002. The current status is inactive.
Licensee Name | JULIAN MANDELL |
Credential ID | 539164 |
Credential Number | 1.008421 |
Credential Type | Physician/Surgeon |
Business Address |
1 Fonthill Park Bloomfield CT 06002 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1957-01-09 |
Effective Date | 2012-04-01 |
Expiration Date | 2013-03-31 |
Refresh Date | 2013-07-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
147100 | CSP.0000270 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 1 Fonthill Park |
City | Bloomfield |
State | CT |
Zip Code | 06002 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | Bloomfield |
Zip Code | 06002 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Bloomfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lynda R Mandell | 903 Park Ave Apt 2d, New York, NY 10075-0361 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Marshall Mandell | 3 Brush St, Norwalk, CT 06850 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
Ira Norman Mandell | Department of Hospitals, Baltimore, MD 21224 | Physician/surgeon | 1976-07-15 ~ 1979-04-30 |
Todd W Mandell Md | 55 Fish Fry Street, Hartford, CT 06120 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Harvey N Mandell | Indian Spring Lane, Norwich, CT 06360 | Physician/surgeon | 1994-09-21 ~ 1995-09-30 |
Julian Cornell | 12 Gansevoort St, Bath, NY 14810-1611 | Physician/surgeon | ~ |
Julian Offsay Md | 400 Washington St, Hartford, CT 06106 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
Julian A Sachs | 100 Grand St, New Britain, CT 06050 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
Julian Hernandez | Po Box 10370, Holyoke, MA 01041-1970 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Julian Falla | 500 Mill St, Southington, CT 06489 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
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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).