BERNARD WITTELS MD (Credential# 547804) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.
BERNARD WITTELS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029469. The credential type is physician/surgeon. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is 5632 S. Kimbark Ave, Chicago, IL 60637. The current status is inactive.
| Licensee Name | BERNARD WITTELS MD |
| Credential ID | 547804 |
| Credential Number | 1.029469 |
| Credential Type | Physician/Surgeon |
| Business Address |
5632 S. Kimbark Ave Chicago IL 60637 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-09-16 |
| Effective Date | 2013-01-01 |
| Expiration Date | 2013-12-31 |
| Refresh Date | 2014-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1004042 | CSP.0050538 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-29 | 2011-06-29 - 2013-02-28 | INACTIVE |
| Street Address | 5632 S. Kimbark Ave |
| City | Chicago |
| State | IL |
| Zip Code | 60637 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Moses Brown | 6223 S. Eberhart, Chicago, IL 60637 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Iazsmin Bauer Ventura | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 2018-10-10 ~ 2019-04-30 |
| Wendy B Posner | 5533 South Kimbark, Chicago, IL 60637 | Licensed Clinical Social Worker | 2004-04-19 ~ 2005-06-30 |
| Robert L Walton Jr | 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 1993-08-25 ~ 1994-05-31 |
| Sunny H Baek | Apt 303s, Chicago, IL 60637 | Pharmacist | 1995-08-25 ~ 1996-01-31 |
| University of Chicago Medical Center Dcam Outpatient Pharmacy | 5758 S Maryland Ave # Mc9041, Chicago, IL 60637-1426 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coalition Application Inc · Coalition for Access, Affortability, and Success | 1101 E 58th St, Chicago, IL 60637-1511 | Public Charity | 2018-10-15 ~ 2019-05-31 |
| Sarah Margaret Urbut | 1157 E 56th St Apt 3, Chicago, IL 60637-1531 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Nora O Segar | 5825 S Dorchester Ave Apt 4w, Chicago, IL 60637-1701 | Controlled Substance Registration for Practitioner | 2020-04-13 ~ 2021-02-28 |
| Hans D Detlefsen | 5759 S Harper Ave, Chicago, IL 60637-1840 | Certified General Real Estate Appraiser | 2014-09-02 ~ 2015-04-30 |
| Find all Licenses in zip 60637 | |||
| City | Chicago |
| Zip Code | 60637 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Chicago |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernard Brass | 25 Willard Rd, Brookline, MA 02445-4203 | Physician/surgeon | ~ |
| J Bernard Gee | 38 Turtle Bay, Branford, CT 06405 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Bernard Nolan | Po Box 733, Lancaster, OH 43130 | Physician/surgeon | 2001-04-09 ~ 2002-05-31 |
| Bernard L Mackinnon | 64 Portland St, Yarmouth, ME 04096 | Physician/surgeon | 1994-02-14 ~ 1995-02-28 |
| Bernard Cohen | 95 Wiltshire Rd, Scarsdale, NY 10583-4561 | Physician/surgeon | 2006-07-07 ~ 2007-08-31 |
| Bernard Ghelman | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2015-05-01 ~ 2016-05-31 |
| Bernard B Vinoski Jr | 33 Highland St Apt 4h, New Britain, CT 06052-2025 | Physician/surgeon | 1987-07-15 ~ 1991-07-31 |
| Bernard S Shapiro | 22 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 1995-11-13 ~ 1997-01-31 |
| Bernard G Forget Md | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2015-04-01 ~ 2015-11-06 |
| Bernard Cieniawa Do | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on BERNARD WITTELS 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).