ETHANY L CULLEN (Credential# 1231892) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
ETHANY L CULLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053565. The credential type is physician/surgeon. The effective date is October 1, 2014. The expiration date is October 31, 2015. The business address is 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349. The current status is inactive.
| Licensee Name | ETHANY L CULLEN |
| Credential ID | 1231892 |
| Credential Number | 1.053565 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-10-01 |
| Effective Date | 2014-10-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-03 |
| Street Address | 11995 SINGLETREE LN STE 500 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Albert C Ybasco | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gregg P Sydow | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Scott R Kerns | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Reem S Awwad | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alan S Muraki | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Steven B Edson | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bruce J Thaler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Toothman | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Christian Binder | Suite 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Priti B Ram Md | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Peter D Holt | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
| Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Richard S Chang | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EDEN PRAIRIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Evans Jr | 15 Cullen Way, Exeter, NH 03833-4309 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Cullen F Shipman | 27 Madison Circle, Greenfield, MA 01301 | Physician/surgeon | 2008-05-21 ~ 2009-06-30 |
| James R Cullen | 581 Hall Hill Rd, Somers, CT 06071 | Physician/surgeon | 1995-04-05 ~ 1996-06-30 |
| Chester F Cullen Md | 27 Fernwood Rd, West Hartford, CT 06119 | Physician/surgeon | 2005-11-22 ~ 2006-12-31 |
| Francis J Cullen | 4217 Ironwood Court, Wichita, KS 67226 | Physician/surgeon | ~ 1995-04-30 |
| Cullen Griffith | 82 South Gate Lane, Southport, CT 06890 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sarah V Cullen | 48 Forest Drive, Mount Kisco, NY 10549 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeffrey P Cullen | 128 Circle Ridge Drive, Burr Ridge, IL 60527 | Physician/surgeon | 2004-03-29 ~ 2005-04-30 |
| Susan E Cullen · Cullen | 159 Murray Street, Meriden, CT 06450 | Respiratory Care Practitioner | 2020-04-01 ~ 2021-03-31 |
| Cullen and Harrison LLC | 5353 Maly Rd Ste B, Sun Prairie, WI 53590-9800 | Out of State Shipper Liquor | 2020-03-20 ~ 2021-03-19 |
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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).