MARTHA MARIA COETZEE MD (Credential# 554826) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.
MARTHA MARIA COETZEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037236. The credential type is physician/surgeon. The effective date is March 13, 2006. The expiration date is April 30, 2007. The business address is 75 Avonwood Rd $88, Avon, CT 06001. The current status is inactive.
| Licensee Name | MARTHA MARIA COETZEE MD |
| Credential ID | 554826 |
| Credential Number | 1.037236 |
| Credential Type | Physician/Surgeon |
| Business Address |
75 Avonwood Rd $88 Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-09-18 |
| Effective Date | 2006-03-13 |
| Expiration Date | 2007-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 197843 | CSP.0027571 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-05-15 - 2003-02-28 | INACTIVE |
| Street Address | 75 AVONWOOD RD $88 |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha A Howard Md | 206 Church St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Martha Praught | 131 Birch St, Roslindale, MA 02131-3431 | Physician/surgeon | 1987-03-13 ~ 1992-03-31 |
| Martha Lauster | 360 3rd Street Suite 425, San Francisco, CA 94107 | Physician/surgeon | ~ |
| Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Martha Buitrago Md | 36 Lincoln St, New Haven, CT 06511 | Physician/surgeon | 2002-01-24 ~ 2003-02-28 |
| Martha Kushnir | 31 Pointe Rok Drive, Worcester, MA 01604 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Martha Sliwowski | 209 Hathaway Street, Wallington, NY 07057 | Physician/surgeon | 2002-08-15 ~ 2003-08-31 |
| Martha M Greenwood Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Martha Brochin Md | 9 Washington Avenue, Hamden, CT 06518 | Physician/surgeon | 2002-12-19 ~ 2004-02-29 |
| Martha Lopez | 123 Green Hill Rd, Longmeadow, MA 01106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).