NICHOLAS P MONGILLO (Credential# 548774) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NICHOLAS P MONGILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030893. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 25 Constitution Blvd, Shelton, CT 06484. The current status is active.
| Licensee Name | NICHOLAS P MONGILLO |
| Credential ID | 548774 |
| Credential Number | 1.030893 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Constitution Blvd Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-07-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159624 | CSP.0018269 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 25 CONSTITUTION BLVD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas J Mongillo | 246 E Waterbury Rd, Naugatuck, CT 06770-2110 | Electrical Unlimited Journeyperson | ~ |
| Todd A Mongillo · Mongillo Asphalt Crack Sealing | 63 Spring Lake Rd, Southington, CT 06489-4425 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Nicholas J Exarchou Md | Po Box 940, Binghampton, NY 13902-0940 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Nicholas Bastidas | 14 Murray St, New York, NY 10007 | Physician/surgeon | ~ |
| Minbae Kim | 5 Nicholas Dr, Kinnrlon, NJ 07405 | Physician/surgeon | 2017-01-18 ~ 2018-01-31 |
| Nicholas A. Perry | 540 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Nicholas R Spinelli Md | 103 Housatonic Dr, Devon, CT 06460 | Physician/surgeon | 2007-01-17 ~ 2008-03-31 |
| Nicholas S Karter | 73 Rosemary Ln, Newington, CT 06111-1839 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Nicholas L Lillo | 1 Grove St Fl 2, New Britain, CT 06053-4116 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nicholas M Elisseou | 106 Livingston St., Apt B7, New Haven, CT 06511 | Physician/surgeon | 2013-05-23 ~ 2014-05-31 |
Please comment or provide details below to improve the information on NICHOLAS P MONGILLO.
| 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).