MITHLESH GOVIL (Credential# 543795) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MITHLESH GOVIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021686. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 22 Billow Rd, Old Lyme, CT 06371-2503. The current status is active.
Licensee Name | MITHLESH GOVIL |
Credential ID | 543795 |
Credential Number | 1.021686 |
Credential Type | Physician/Surgeon |
Business Address |
22 Billow Rd Old Lyme CT 06371-2503 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1979-09-05 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1258534 | CSP.0059118 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
153459 | CSP.0009916 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 22 BILLOW RD |
City | OLD LYME |
State | CT |
Zip Code | 06371-2503 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cds LLC | 4 Billow Rd, Old Lyme, CT 06371-2503 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Henry M Balavender | 68 Billow Rd, Old Lyme, CT 06371-2503 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Clifford R Winkel | 4 Billow Rd, Old Lyme, CT 06371-2503 | Professional Engineer | 2020-06-13 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | OLD LYME |
Zip Code | 06371 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + OLD LYME |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dinesh C Govil | 22 Billow Road, Old Lyme, CT 06371 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Christopher A Govil | 10 Halpenney Lane, Old Saybrook, CT 06475 | Emergency Medical Technician | ~ 1999-10-01 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).