MIMI MAH
Physician/surgeon


Address: 439 Waite Street, Hamden, CT 06517

MIMI MAH (Credential# 559768) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

MIMI MAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042186. The credential type is physician/surgeon. The effective date is February 20, 2007. The expiration date is February 29, 2008. The business address is 439 Waite Street, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name MIMI MAH
Credential ID 559768
Credential Number 1.042186
Credential Type Physician/Surgeon
Business Address 439 Waite Street
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-03-03
Effective Date 2007-02-20
Expiration Date 2008-02-29
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
371796 CSP.0034983 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-06-01 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 439 WAITE STREET
City Hamden
State CT
Zip Code 06517

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Timothy J Freer 33 Norris Street, Hamden, CT 06517 Physical Therapist 2020-09-01 ~ 2021-08-31
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Elizabeth Alberico 58 Hesse Road, Hamden, CT 06517 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Stephen M Grossman 17 Greenway St, Hamden, CT 06517 Architect 2020-08-01 ~ 2021-07-31
James E Laposta Jr 66 Laurel Road, Hamden, CT 06517 Architect 2020-08-01 ~ 2021-07-31
Judith M Rothstein 11 Dadio Road, Hamden, CT 06517 Licensed Alcohol and Drug Counselor 2020-04-01 ~ 2021-03-31
Keleann T Tamaki 165 Ridge Road, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
Robin L Esposito 191 Thornton St, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele R Abrams 114 Wakefield St, Hamden, CT 06517 Audiologist 2020-09-01 ~ 2021-08-31
Catherine E Tesluk 215 Hartford Tpke, Hamden, CT 06517 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

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City Hamden
Zip Code 06517
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hamden

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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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