PAUL A ENGELMAN DO (Credential# 312717) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
PAUL A ENGELMAN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032299. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 36 Nw Sandy Trail Ln, Lawton, OK 73505-9558. The current status is inactive.
| Licensee Name | PAUL A ENGELMAN DO |
| Credential ID | 312717 |
| Credential Number | CSP.0032299 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Nw Sandy Trail Ln Lawton OK 73505-9558 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-03-01 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557369 | 1.039785-DO | Physician/Surgeon | 2001-08-03 | 2012-09-01 - 2013-08-31 | INACTIVE |
| Street Address | 36 NW SANDY TRAIL LN |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9558 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geetha Bhavani Kandimala | 302 Nw 76th St, Lawton, OK 73505 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kevin K Murray | 8005 Nw Aldwick Ave, Lawton, OK 73505 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Monique D Martin Lowery | 128 S W 69th St, Lawton, OK 73505 | Hairdresser/cosmetician | 1993-03-24 ~ 1994-04-30 |
| Michael L Castellano | 6902 Surreywood, Lawton, OK 73505 | Physician/surgeon | ~ 1997-02-28 |
| Telecia Kennedy | 7613 Nw Chesley Dr, Lawton, OK 73505-4114 | Registered Nurse - Temporary | 2018-08-02 ~ 2018-11-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jones Seed Company Inc | 249 E Gore Blvd, Lawton, OK 73501-3011 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
| Kinju P Dudhia | 27567 Rolling Pines Court, Lawton, MI 49065 | Physical Therapist | 2008-10-27 ~ 2009-11-30 |
| Karen A Bluemer-giorgis | 1133 Nw Elm Ave., Lawton, OK 73507 | Occupational Therapist | 2007-09-04 ~ 2009-07-31 |
| Zahirah E Habassi | 4643 Se Brighton Pl, Lawton, OK 73501-6641 | Registered Nurse - Temporary | 2009-08-06 ~ 2009-12-04 |
| Lydia D Rodriguez | 402 B Rogers Lane, Lawton, OK 73507 | Registered Nurse | 2006-07-25 ~ 2007-03-31 |
| Suzanne N Pyne | 910 N E Dove Lane, Lawton, OK 73507 | Hairdresser/cosmetician | 1998-04-06 ~ 1999-05-31 |
| City | LAWTON |
| Zip Code | 73505 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAWTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul Fox Md | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | Controlled Substance Registration for Practitioner | 2011-03-23 ~ 2013-02-28 |
| Paul D Kang | 217 Se 8th St, Ankeny, IA 50021-3538 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Paul Pyo | 893 Cahill Ct, Cheshire, CT 06410-3302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joan Paul | 680 Mix Ave Apt 3p, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
| Paul Himelfarb | 13 Top of The Rdg, Mamaroneck, NY 10543-1734 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul H Zimmering Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Paul | 161 East Ave Ste 202, Norwalk, CT 06851-5710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tanya Paul Md | 625 Clinton Ave, Bridgeport, CT 06605 | Controlled Substance Registration for Practitioner | 2000-07-11 ~ 2001-02-28 |
| Paul W Santoro Do | 33 Scarborough Rd, Cumberland, RI 02864-3410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Paul Torop | 267 William St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PAUL A ENGELMAN DO.
| 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).