HAROLD J GAUTHIER JR MD
Physician/surgeon


Address: 1505 Evergreen Lane, Berwyn, PA 19312

HAROLD J GAUTHIER JR MD (Credential# 552701) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.

Business Overview

HAROLD J GAUTHIER JR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035107. The credential type is physician/surgeon. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 1505 Evergreen Lane, Berwyn, PA 19312. The current status is inactive.

Basic Information

Licensee Name HAROLD J GAUTHIER JR MD
Credential ID 552701
Credential Number 1.035107
Credential Type Physician/Surgeon
Business Address 1505 Evergreen Lane
Berwyn
PA 19312
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-03-08
Effective Date 2016-06-01
Expiration Date 2017-05-31
Refresh Date 2017-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
924576 CSP.0047521 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-05-25 2010-05-25 - 2011-02-28 INACTIVE
170240 CSP.0024215 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 1505 Evergreen Lane
City Berwyn
State PA
Zip Code 19312

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Peter Zimmerman 828 Old Lancaster Rd, Berwyn, PA 19312 Architect 2020-08-01 ~ 2021-07-31
Chartwell Funds (the) 1205 Westlakes Drive, Berwyn, PA 19312 Investment Company - Open End 2019-12-31 ~ 2020-12-31
David A Vanocker 1035 Tenby Rd, Berwyn, PA 19312 Professional Engineer 2020-02-01 ~ 2021-01-31
Mary Vogler Peacock 1055 Westlakes Drive, Suite 300, Berwyn, Pa, PA 19312 Veterinarian 2019-11-19 ~ 2020-10-31
Brinker Capital Destinations Trust 1055 Westlakes Drive, Berwyn, PA 19312 Investment Company - Open End 2019-12-31 ~ 2020-12-31
George Melillo 1055 Westlakes Drive, 3rd Floor, Berwyn, PA 19312 Veterinarian ~
Lauren Merrill Geddes 202 Country Road, Berwyn, PA 19312 Certified Public Accountant License 2011-01-01 ~ 2011-12-31
M Ajmal Khan · Railway Systems Design 535 Daventry Rd, Berwyn, PA 19312 Professional Engineer 1800-12-27 ~ 1990-01-31
Robert N Lebre · Na-con Service Inc 874 Llwewlyn Rd, Berwyn, PA 19312 Professional Engineer 1988-01-21 ~ 1989-01-31
Lloyd M Perry 670 Bair Rd, Berwyn, PA 19312 Professional Engineer 2002-02-01 ~ 2003-01-31
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Competitor

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City Berwyn
Zip Code 19312
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Berwyn

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Dataset Information

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).

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