SAMUEL J POTOLICCHIO JR (Credential# 1383003) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 19, 1980. The license expiration date date is March 31, 1981. The license status is INACTIVE.
SAMUEL J POTOLICCHIO JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021871. The credential type is physician/surgeon. The effective date is March 19, 1980. The expiration date is March 31, 1981. The business address is 2601 N 3rd St, Harrisburg, PA 17110-2046. The current status is inactive.
| Licensee Name | SAMUEL J POTOLICCHIO JR |
| Credential ID | 1383003 |
| Credential Number | 1.021871 |
| Credential Type | Physician/Surgeon |
| Business Address |
2601 N 3rd St Harrisburg PA 17110-2046 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-03-19 |
| Effective Date | 1980-03-19 |
| Expiration Date | 1981-03-31 |
| Refresh Date | 2016-10-06 |
| Street Address | 2601 N 3RD ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-2046 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James J Badaczewski | 2212 Chatham Way, Harrisburg, PA 17110 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paul A Michelson | 2838 Oakwood Drive, Harrisburg, PA 17110 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Alyssa Erinn Doody | 148 Holly Hillsdrive, Harrisburg, PA 17110 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Hillarie C Speziale Aprn | 3952 Green St, Harrisburg, PA 17110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Isaac Walters · College Pro Painters Us Ltd (s | 2321 North 3rd St, Harrisburg, PA 17110 | Home Improvement Salesperson | ~ 1992-05-01 |
| Yves E Pollart | 1303 Pelham Rd, Harrisburg, PA 17110 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Barry L Boyer | 2103 N Second St, Harrisburg, PA 17110 | Registered Nurse | 2001-07-23 ~ 2002-09-30 |
| Kathleen M Raffloer | 2138 N 2nd Street, Harrisburg, PA 17110 | Registered Nurse | 2000-11-27 ~ 2001-12-31 |
| Paul F Phillips | 4712 Great Oak Lane, Harrisburg, PA 17110 | Physician/surgeon | ~ 1995-10-31 |
| Laurence A Hirsh | 1611 Baldwin Lane, Harrisburg, PA 17110 | Temporary Certified General Real Estate Appraiser | 2002-11-08 ~ 2003-05-07 |
| Find all Licenses in zip 17110 | |||
| City | HARRISBURG |
| Zip Code | 17110 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARRISBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel A Adesoba | P.o. Box 876, New York, NY 10037 | Physician/surgeon | ~ 1997-10-31 |
| Samuel Bergman | Po Box 516, Durham, CT 06422-0516 | Physician/surgeon | 1982-06-22 ~ 1984-04-30 |
| Samuel S Fam | Po Box 31294, Clarksville, TN 37040-0022 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samuel P Oh | 25 Deerfield Dr, East Greenwich, RI 02818 | Physician/surgeon | 1993-09-23 ~ 1994-08-31 |
| Samuel J Beran | Suite 412, Harrison, NY 10528 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Samuel C Sugg Jr | P.o. Box 1442, Litchfield, CT 06759 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Stewart M. Samuel | 7 Lisa Dr, Dix Hills, NY 11746-5103 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Samuel G Katz | 43 N Racebrook Rd, Woodbridge, CT 06525-1456 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samuel L Kushner | 9 Bayard Rd, Somerset, NJ 08873-7205 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
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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).