MARY E MANGAN (Credential# 742485) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license expiration date date is April 30, 1998. The license status is INACTIVE.
MARY E MANGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000736. The credential type is physician assistant. The expiration date is April 30, 1998. The business address is 3750 63rd Street, Woodside, NY 11377. The current status is inactive.
| Licensee Name | MARY E MANGAN |
| Credential ID | 742485 |
| Credential Number | 23.000736 |
| Credential Type | Physician Assistant |
| Business Address |
3750 63rd Street Woodside NY 11377 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-03-20 |
| Expiration Date | 1998-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 3750 63RD STREET |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yeo Jung Cho | 45-52 47th Street, Woodside, NY 11377 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kihyun Kim | 37-76 62st, Woodside, NY 11377 | Nail Technician | ~ |
| Bokyoung Kim | 3776 62nd St, Woodside, NY 11377 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Heejung Lee | 4039 62nd St 3fl, Woodside, NY 11377 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yong Ye Kim | 48-24 66th St Fl 2, Woodside, NY 11377 | Nail Technician | 2020-06-17 ~ 2021-10-31 |
| Irene Pauline P Ilagan | 4413 65th Street, Woodside, NY 11377 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Pui Sing Yee | 47-18 45th Street 2nd Floor, Woodside, NY 11377 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Zalak Patel | 3982 65pl, Woodside, NY 11377 | Physician/surgeon | 2019-08-28 ~ 2019-11-30 |
| Elena Tello | 45-35 46th Street, Woodside, NY 11377 | Registered Nurse - Temporary | 2019-10-25 ~ 2020-02-22 |
| Dominique A Elie | 54-17 31st Avenue Apt 6m, Woodside, NY 11377 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 11377 | |||
| City | WOODSIDE |
| Zip Code | 11377 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + WOODSIDE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Ann Mangan | 7 Woodridge Drive, Chester, NY 10918 | Physician/surgeon | 1984-11-09 ~ 1985-01-31 |
| Mary E Finan Pa | 65 Gilman St, Bridgeport, CT 06605 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mary A Gunn | 40 Prospect St, Norwalk, CT 06850 | Physician Assistant | 1994-03-14 ~ 1994-09-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Mary Holmes Pa | 188 Woodhaven, Glastonbury, CT 06033 | Physician Assistant | 2002-03-12 ~ 2003-04-30 |
| Kaitlyn Mary Roseman | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-04-03 ~ 2020-11-30 |
| Mary P Zayas | 9 Pioneer Dr, Copake, NY 12516 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
| Mary B Mcchrystal Pa | 419 Fountain St, New Haven, CT 06515 | Physician Assistant | 2003-05-02 ~ 2004-06-30 |
| Mary M Kelley | 25 Chestnut St, Rockville, CT 06066 | Physician Assistant | 2000-03-15 ~ 2001-05-31 |
| Mary E Fleming | 40 Prospect St. #2-3h, Norwalk, CT 06850 | Physician Assistant | 2004-09-15 ~ 2004-10-31 |
Please comment or provide details below to improve the information on MARY E MANGAN.
| 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).