KATHLEEN MOLTZ MD (Credential# 162208) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 12, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.
KATHLEEN MOLTZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021758. The credential type is controlled substance registration for practitioner. The effective date is December 12, 1995. The expiration date is February 28, 1997. The business address is 40 Second Ave #170, Waltham, MA 02154. The current status is inactive.
| Licensee Name | KATHLEEN MOLTZ MD |
| Credential ID | 162208 |
| Credential Number | CSP.0021758 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Second Ave #170 Waltham MA 02154 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1995-12-12 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550551 | 1.032952 | Physician/Surgeon | 1993-05-14 | 1995-12-07 - 1996-12-31 | INACTIVE |
| Street Address | 40 SECOND AVE #170 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02154 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| W. K. Macnamara Corp | 24 Loretta Rd, Waltham, MA 02154 | Demolition Contractor | 1994-10-01 ~ 1995-09-30 |
| David H Brault | 100 Hardy Pond Road, Waltham, MA 02154 | Certified Public Accountant Certificate | ~ |
| Peter A Bogart | 6 Bow St, Waltham, MA 02154 | Chiropractor | 1997-01-09 ~ 1997-12-31 |
| Deborah M Fiore · Molnar | 16 Kings Wayd, Waltham, MA 02154 | Registered Nurse | 1998-09-30 ~ 1999-11-30 |
| Francis A Beer | 22 Shirley Rd, Waltham, MA 02154 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Brenda L Demers | 53 Hobbs Road, Waltham, MA 02154 | Radiographer | 1995-09-08 ~ 1996-08-31 |
| Annette L Arcuri · Cuomo | 34-b Winthrop St, Waltham, MA 02154 | Registered Nurse | 1995-12-07 ~ 1997-01-31 |
| Susan Boyle | 95 Beaver Street, Waltham, MA 02154 | Asbestos Consultant-inspector | 2000-05-01 ~ 2001-05-31 |
| Imran T Khawaja | 1904 Stearns Hill, Waltham, MA 02154 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
| Dawn R Gregory · Diddams | 1612 Stearns Hl Rd, Waltham, MA 02154 | Physical Therapist | 1994-01-03 ~ 1994-12-31 |
| Find all Licenses in zip 02154 | |||
| City | WALTHAM |
| Zip Code | 02154 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALTHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen M Sanders | 435 Riverside Dr Apt 31, New York, NY 10025-7763 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kathleen F Gauthier Lnm | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Coffin | 627 Chapel St Apt 4a, New Haven, CT 06511-6993 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Stuart | 3 Strathmore Ln, Westport, CT 06880-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Mcguire Md | 350 North St, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHLEEN MOLTZ MD.
| 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).