CLARENCE COOLIDGE COLEMAN (Credential# 1460810) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
CLARENCE COOLIDGE COLEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059958. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 11995 Singletree Ln, Eden Prairie, MN 55344. The current status is inactive.
| Licensee Name | CLARENCE COOLIDGE COLEMAN |
| Credential ID | 1460810 |
| Credential Number | 1.059958 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Ln Eden Prairie MN 55344 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-02-14 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 11995 Singletree Ln |
| City | Eden Prairie |
| State | MN |
| Zip Code | 55344 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kavita Garg | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| 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 |
| 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 |
| Rebecca Dipofi Rogers | 13625 Technology Dr, Eden Prairie, MN 55344 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| 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 |
|---|---|---|---|
| Barbara Lock | 35 Coolidge Ave, Rye, NY 10580-1306 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Meera Mahalingam | 104 Coolidge St, Brookline, MA 02446-5808 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Melvin P Coolidge | Palm Beach Gardens, FL 33418 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Zia U Din | 125 Coleman St #a-5, West Haven, CT 06516 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Terrence J Callinan Md | 696 Coleman Rd, Middletown, CT 06457-6109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jules V Coleman Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 1997-12-22 ~ 1998-11-30 |
| David Coleman Md | 316 Ogden St, New Haven, CT 06511 | Physician/surgeon | 2006-07-17 ~ 2007-08-31 |
| Paul J Coleman Md | 11 Lindencrest Dr, Danbury, CT 06811 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Mark Coleman | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lawrence S Coleman | 290 U.S.highway 202, Rindge, NH 03461-7108 | Physician/surgeon | 2007-07-11 ~ 2008-07-31 |
Please comment or provide details below to improve the information on CLARENCE COOLIDGE COLEMAN.
| 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).