THEODORE A. MONITZ
Physician/surgeon


Address: 285 Boulevard Ne, Atlanta, GA 30312-4205

THEODORE A. MONITZ (Credential# 1258883) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 26, 1984. The license expiration date date is April 30, 1989. The license status is INACTIVE.

Business Overview

THEODORE A. MONITZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025499. The credential type is physician/surgeon. The effective date is April 26, 1984. The expiration date is April 30, 1989. The business address is 285 Boulevard Ne, Atlanta, GA 30312-4205. The current status is inactive.

Basic Information

Licensee Name THEODORE A. MONITZ
Credential ID 1258883
Credential Number 1.025499
Credential Type Physician/Surgeon
Business Address 285 Boulevard Ne
Atlanta
GA 30312-4205
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-04-26
Effective Date 1984-04-26
Expiration Date 1989-04-30
Refresh Date 2014-12-15

Office Location

Street Address 285 BOULEVARD NE
City ATLANTA
State GA
Zip Code 30312-4205

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Ernesto A Guardado 660 Ralph Mcgill Boulevard Ne, Atlanta, GA 30312 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Kaysi Woodard 1092 Park Row South Se, Atlanta, GA 30312 Registered Nurse 2019-09-01 ~ 2020-08-31
Matthew Keck 548 Cameron St Se, Atlanta, GA 30312 Registered Nurse 2015-11-01 ~ 2016-10-31
Marlysa B Funderburk 701 Highland Avenue, Atlanta, GA 30312 Physical Therapist 2006-11-24 ~ 2007-12-31
Nakia M Shaw 53 Crumley St Se, Atlanta, GA 30312 Pharmacist 2006-02-13 ~ 2007-01-31
Amy M Woodward 701 Highland Avenue, Atlanta, GA 30312 Radiographer 2006-02-01 ~ 2006-07-31
Stephanie R Davis 747 Ralph Mcgill Blvd Ne Unit 138, Atlanta, GA 30312-1129 Registered Nurse 2019-12-01 ~ 2020-11-30
Kevin A Lach 660 Ralph Mcgill Blvd Ne, Atlanta, GA 30312-1149 Lottery Or Otb Service Provider Employee 2013-01-01 ~ 2013-12-31
Christopher Auzenne 375 Ralph Mcgill Blvd Ne Apt 207, Atlanta, GA 30312-1245 Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

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City ATLANTA
Zip Code 30312
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ATLANTA

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Theodore J Degroot 53 Lafayette St, Norwich, CT 06360 Physician/surgeon 1996-10-28 ~ 1997-12-31
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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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