THEODORE J COLTERELLI
Physician/surgeon


Address: 42-1 Ferne Blvd., Drexel Hill, PA 19144

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 42-1 FERNE BLVD.
City DREXEL HILL
State PA
Zip Code 19144

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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
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Competitor

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City DREXEL HILL
Zip Code 19144
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DREXEL HILL

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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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