TERRENCE D COULTER MD (Credential# 551888) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 5, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.
TERRENCE D COULTER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034290. The credential type is physician/surgeon. The effective date is July 5, 1996. The expiration date is June 30, 1997. The business address is Dept of Medicine, Waterbury, CT 06706. The current status is inactive.
| Licensee Name | TERRENCE D COULTER MD |
| Business Name | ST MARY'S HOSPITAL |
| Credential ID | 551888 |
| Credential Number | 1.034290 |
| Credential Type | Physician/Surgeon |
| Business Address |
Dept of Medicine Waterbury CT 06706 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-02-17 |
| Effective Date | 1996-07-05 |
| Expiration Date | 1997-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 48411 | CSP.0025110 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-01-24 - 1997-02-28 | INACTIVE |
| Street Address | DEPT OF MEDICINE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank A Hobart Md | Dept of Medicine, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiajaira Morales | 424 Baldwin St., Waterbury, CT 06706 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
| Timiki M White | 921 Hamilton Avenue Unit 6, Waterbury, CT 06706 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Lymarie Torres Garcia | 107 Alpine Ave., Waterbury, CT 06706 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann M Iannantuoni | 456 Prospect Rd, Waterbury, CT 06706 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brittany Morgan | 921 Hamilton Ave., Waterbury, CT 06706 | Medication Administration Certification | 2018-04-14 ~ 2020-04-13 |
| Chevelle Hinton | 35 Mountain Village Rd Unit 2, Waterbury, CT 06706 | Medication Administration Certification | 2020-05-19 ~ 2022-05-18 |
| Juan A Bano | 685 Summer St, Waterbury, CT 06706 | Asbestos Abatement Worker | ~ |
| Esther Campos Dasilva | 31 Benjamin St, Waterbury, CT 06706 | Emergency Medical Responder | ~ |
| Rebecca L Diblasi | 295 Edgewood Avenue, Waterbury, CT 06706 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Rnz Services LLC | 76 Lounsbury Ave Apt 2, Waterbury, CT 06706 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06706 | |||
| City | WATERBURY |
| Zip Code | 06706 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary B Miller | 27 Hospital Ave Ste 303, Danbury, CT 06810-5961 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary E Norris Md | 11 Hospital Drive, Holyoke, MA 01040 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Santokh Singh | St. Mary's Hospital, Montreal, QC H3T1M5 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Steven E Schneider Md | Saint Mary's Hospital, Waterbury, CT 06706 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Mary E Gordinier Md | Women & Infants Hospital, Providence, RI 02905 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Natasha Mamdani | St. Mary's Hospital, Department of Medicine, Waterbury, CT 06706 | Physician/surgeon | 2016-03-14 ~ 2016-12-31 |
| Jacquline Melissa Mary Beitner | St Vincent's Hospital Melbourne, Fitzroy, Vic, AU 3065 | Physician/surgeon | ~ |
| Susan V Rockwell | 19 Coulter Rd, Clifton Springs, NY 14432 | Physician/surgeon | 1992-12-22 ~ 1993-11-30 |
| Saint Mary's Hospital Inc. · Saint Mary's Hospital, Inc. | 56 Franklin St, Waterbury, CT 06706-1253 | General Hospital | 2019-01-01 ~ 2020-12-31 |
| Terrence P Flannery | P.o. Box 339, New Baltimore, NY 12124 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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| 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).