GINA M CARLOTTI (Credential# 1297388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
GINA M CARLOTTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054526. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 623 Sugartown Rd, Malvern, PA 19355-3303. The current status is active.
Licensee Name | GINA M CARLOTTI |
Credential ID | 1297388 |
Credential Number | 1.054526 |
Credential Type | Physician/Surgeon |
Business Address |
623 Sugartown Rd Malvern PA 19355-3303 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-08-12 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1304231 | CSP.0061261 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-13 | 2015-08-13 - 2017-02-28 | INACTIVE |
Street Address | 623 SUGARTOWN RD |
City | MALVERN |
State | PA |
Zip Code | 19355-3303 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanguard Charitable Endowment Program | 45 Liberty Blvd., Suite 220, Malvern, PA 19355 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Joseph M Mackin | 53 Church Road, Malvern, PA 19355 | Architect | 2020-08-01 ~ 2021-07-31 |
Coram Alternate Site Services Inc | 6 Spring Mill Drive, Malvern, PA 19355 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Gavin E Grimes · Main Line Commercial Pools Inc | 12 James Thomas Rd, Malvern, PA 19355 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
Gunni B Borden | 132 W 1st Avenue, Malvern, PA 19355 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
Zeyn B Uzman | 305 Charleston Greene, Malvern, PA 19355 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Chris H Kim | 602 N. Atwater Drive, Malvern, PA 19355 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Alfred M Bonner | 3 Veterans Way, Malvern, PA 19355 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Quaker Investment Trust | 83 General Warren Boulevard, Malvern, PA 19355 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
Anthony P Dolanski | 4 Roselawn Lane, Malvern, PA 19355 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 19355 |
City | MALVERN |
Zip Code | 19355 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MALVERN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia J Silva | 143 Gina Ln, Guilford, CT 06437-1381 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Gina F Cabela | 1 Pierpointe St., Yonkers, NY 10701 | Physician/surgeon | 2007-06-01 ~ 2008-06-30 |
Gina Friedt | 326 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Gina L O'brien Md | New England Pediatrics, Stamford, CT 06902 | Physician/surgeon | 2000-03-13 ~ 2001-03-31 |
Gina G Chung | 275 Chestnut Grove, Guilford, CT 06437 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Gina G La Prova | 280 Tower Hill Rd, Cumberland, RI 02864-1500 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Gina F Gladstein Md | 2046 W Main St Ste 2, Stamford, CT 06902-4523 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Gina R Brescia | 317 Pansy Road, Fairfield, CT 06824 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Gina E Gluck | 6 Blenheim Terrace, Farmington, CT 06032 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gina T Cunto Amesty | 34 Old Nourse St, Westborough, MA 01581-3561 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
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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).