ELISE MARIE TETELMAN (Credential# 1466786) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
ELISE MARIE TETELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004087. The credential type is physician assistant. The effective date is May 1, 2018. The expiration date is May 31, 2019. The business address is 124 Oscaleta Road, South Salem, NY 10590. The current status is inactive.
| Licensee Name | ELISE MARIE TETELMAN |
| Credential ID | 1466786 |
| Credential Number | 23.004087 |
| Credential Type | Physician Assistant |
| Business Address |
124 Oscaleta Road South Salem NY 10590 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-05-01 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-05-31 |
| Refresh Date | 2019-09-03 |
| Street Address | 124 Oscaleta Road |
| City | South Salem |
| State | NY |
| Zip Code | 10590 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alice B Gottlieb | 51 Twin Lakes Rd, South Salem, NY 10590 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lorraine M Gengo | 65 Grandview Road, South Salem, NY 10590 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Jon C Jensen | 11 Elmwood Rd, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Sementilli | 14 East Street, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Louis M Galasso | 162 Journeys End Rd, South Salem, NY 10590 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Bozena Piechota | 4 Rainbow Hill Road, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jane H Wakeman | 457 Smith Ridge Rd., South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mark A Caviola | 14 North Lake Circle, South Salem, NY 10590 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Ann M Nolan | 171journey's End Road, South Salem, NY 10590 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Denise T Mackin | 2 Country Lane, South Salem, NY 10590 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Find all Licenses in zip 10590 | |||
| City | South Salem |
| Zip Code | 10590 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + South Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elise Marie Meoli | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Eve Elise Barna | 1308 South Boulevard, Bethlehem, PA 18017 | Physician Assistant | ~ |
| Elise C Winter | 69 Tracy Dr, Vernon Rockville, CT 06066-4121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Dominic E Vozzella | 19 Marie St, Milford, CT 06460-7632 | Physician Assistant | ~ |
| Dana Marie Rasmus | 7 Ann St, Milford, CT 06460 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Marie E Brady | 40 Prospect St 1-2h, Norwalk, CT 06850 | Physician Assistant | 1993-12-01 ~ 1994-02-28 |
| Natalie Marie Concannon | 910 E 26th St, Minneapolis, MN 55407 | Physician Assistant | ~ |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| G Marie Darrow Pa | 131 Kent Rd, New Milford, CT 06776-3485 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristina Marie Dauernheim | 413 Imperial Way, Bayport, NY 11705-1518 | Physician Assistant | ~ |
Please comment or provide details below to improve the information on ELISE MARIE TETELMAN.
| 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).