THEODORE J COLTERELLI (Credential# 564412) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.
THEODORE J COLTERELLI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046830-DO. The credential type is physician/surgeon. The effective date is October 1, 2009. The expiration date is June 30, 2010. The business address is 42-1 Ferne Blvd., Drexel Hill, PA 19144. The current status is inactive.
Licensee Name | THEODORE J COLTERELLI |
Credential ID | 564412 |
Credential Number | 1.046830-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
42-1 Ferne Blvd. Drexel Hill PA 19144 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-07-23 |
Effective Date | 2009-10-01 |
Expiration Date | 2010-06-30 |
Refresh Date | 2010-10-20 |
Street Address | 42-1 FERNE BLVD. |
City | DREXEL HILL |
State | PA |
Zip Code | 19144 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan Joseph Vitti | 5500 Wissahickon Ave, Philadelphia, PA 19144 | Registered Nurse | 2019-05-28 ~ 2020-05-31 |
Sabaa N Alvi | 2979 W School House Ln, Philadelphia, PA 19144 | Physician/surgeon | 2015-11-02 ~ 2016-11-30 |
Sqa Pharmacy Services | 4700 Wissahickon Ave, Philadelphia, PA 19144 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
Opportunities Industrialization Centers International | 240 West Tulpehocken Street, Philadelphia, PA 19144 | Public Charity | 2005-10-01 ~ 2006-02-28 |
Lisa M Carter | 35 Ashmead Place, South Philaelphia, PA 19144 | Occupational Therapist | 1994-05-23 ~ 1995-07-31 |
Kareem H Taylor | 6345 Ross Street, Philadelphia, PA 19144 | Asbestos Abatement Worker | 2002-03-13 ~ 2003-01-31 |
Emily Levitt-gopie | 152 West Penn St., Philadelphia, PA 19144 | Registered Nurse | 2004-08-12 ~ 2005-04-30 |
Gaynell Pullen | 6233 Mccallum Street, Philadelphia, PA 19144 | Registered Nurse | 2006-06-01 ~ 2007-05-31 |
Lisa States Md | 5500 Wissahickon Ave, Philadelphia, PA 19144 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Judith Bonita Oliver | 6137 Morton Street, Philadelphia, PA 19144-1002 | Physical Therapist Assistant | 2018-04-03 ~ 2018-10-31 |
Find all Licenses in zip 19144 |
City | DREXEL HILL |
Zip Code | 19144 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DREXEL HILL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Theodore Nowakiwskys | CT | Physician/surgeon | ~ |
Theodore H Schettler | 124 Peterborough St, Boston, MA 02215 | Physician/surgeon | 1996-07-22 ~ 1997-07-31 |
Theodore Johnson | 310 Seabury Dr, Bloomfield, CT 06002-2657 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
Theodore Rubin | 175 East 62 St, New York, NY 10021 | Physician/surgeon | 2009-03-05 ~ 2010-04-30 |
Theodore A. Monitz | 285 Boulevard Ne, Atlanta, GA 30312-4205 | Physician/surgeon | 1984-04-26 ~ 1989-04-30 |
Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Theodore J Degroot | 53 Lafayette St, Norwich, CT 06360 | Physician/surgeon | 1996-10-28 ~ 1997-12-31 |
Theodore Lidz | 60 Orchard Rd, Woodbridge, CT 06525 | Physician/surgeon | 1995-02-07 ~ 1996-04-30 |
Theodore D Fishman Md | 670 Prospect Ave, Hartford, CT 06105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Theodore Maron | 7 Wildwood Med Ctr, Essex, CT 06426 | Physician/surgeon | 2006-01-26 ~ 2007-03-31 |
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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).