ADRIANA MANTA
Physician/surgeon


Address: One Strawberry Hill Court, Apt. 12c, Stamford, CT 06902

ADRIANA MANTA (Credential# 554958) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 3, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

ADRIANA MANTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037368. The credential type is physician/surgeon. The effective date is December 3, 2004. The expiration date is November 30, 2005. The business address is One Strawberry Hill Court, Apt. 12c, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name ADRIANA MANTA
Credential ID 554958
Credential Number 1.037368
Credential Type Physician/Surgeon
Business Address One Strawberry Hill Court, Apt. 12c
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-11-06
Effective Date 2004-12-03
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address One Strawberry Hill Court, Apt. 12C
City Stamford
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City Stamford
Zip Code 06902
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Stamford

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Dataset Information

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).

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