MANOJ K MITTAL (Credential# 548626) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 25, 1993. The license expiration date date is January 31, 1994. The license status is INACTIVE.
MANOJ K MITTAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030694. The credential type is physician/surgeon. The effective date is January 25, 1993. The expiration date is January 31, 1994. The business address is 653 Britton Ave, Staten Island, NY 10304. The current status is inactive.
| Licensee Name | MANOJ K MITTAL |
| Credential ID | 548626 |
| Credential Number | 1.030694 |
| Credential Type | Physician/Surgeon |
| Business Address |
653 Britton Ave Staten Island NY 10304 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-04-06 |
| Effective Date | 1993-01-25 |
| Expiration Date | 1994-01-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 653 BRITTON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Benvenuto | 36 Wilson Street, Staten Island, NY 10304 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joseph J Ruggiero | 60 Duncan St, Staten Isld, NY 10304 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Sarah Klobocista | 21 Vista Ave, Staten Island, NY 10304 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Boundless Impact Group LLC | 25 Copperleaf Terrace, Staten Island, NY 10304 | Paid Solicitor | 2019-08-13 ~ 2020-08-12 |
| Richard J Trieste | 48 Duncan St, Staten Island, NY 10304 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Advanced Technology Select Fund Viii, LLC | 163 Coventry Road, Staten Island, NY 10304 | Securities - Exemptions | 2019-11-12 ~ |
| Sabrina J Lauriston | 32 Delaware Street, Staten Island, NY 10304 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John B Dimaano | 800 Elbe Ave, Staten Island, NY 10304 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Nadezda A Tretyakova | 54 Sunrise Terrace, Staten Island, NY 10304 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Bruce Sosler | 27 Gateway Drive, Staten Island, NY 10304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in zip 10304 | |||
| City | STATEN ISLAND |
| Zip Code | 10304 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ravinder Mittal | CT | Physician/surgeon | 1982-07-27 ~ 1985-09-30 |
| Manoj K Saxena | 10 Connecticut Ave, Norwich, CT 06360-1502 | Physician/surgeon | 2016-07-01 ~ 2017-04-18 |
| Manoj Puthiyathu | 61 Linden St, Hackensack, NJ 07601-3534 | Physician/surgeon | 2014-06-03 ~ 2015-06-30 |
| Vikrant Mittal | 857 Watling St, Fort Mill, SC 29715-5906 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Manoj Kumar | 6 Jack Court, 63a Rosemary Lane, GU170LS | Physician/surgeon | ~ |
| Manoj Moholkar | 14 Castle Road, Northborough, MA 01532 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Sanjay Mittal | 65 Woodruff Road, Farmington, CT 06032-2025 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sheilaja Mittal | 4690 Paradise Dr, Belvedere Tiburon, CA 94920-1056 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Niranjan Kumar Mittal | Family Health & Cardiac Center, Brooklyn, NY 11209 | Physician/surgeon | ~ |
| Manoj Kumar Dhariwal | 1040 Inverness Street, Port Charlotte, FL 33952 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).